| Doctor Name: | KAYLA NOTLEY |
| NPI Number: | 1053655233 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ACNP |
| License Number: | 756314 |
| Business Practice Address: | 519 N Lincoln Ave Odessa, TX - 797614429 |
| Business Phone Number: | 4326406446 |
| Business Fax Number: | 4326406493 |
| Mailing Address: | Po Box 2129, ODESSA |
| State: | TX |
| Postal Code: | 797602129 |
| Phone Number: | 4326406446 |
| Fax Number: | 4326406493 |
| NPI Enumeration Date: | 11/12/2012 |
| NPI Last Update Date: | 02/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 756314 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |