Wynsma, Kayla

Wynsma, Kayla is an individual health care provider with primary practice located at 300 N Main St Ste D , Crown Point IN 46307-3281. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Wynsma, Kayla can be contacted via phone (219) 663-4888.

Contact Information

Primary practice address
300 N Main St Ste D Crown Point IN 46307-3281
Phone: (219) 663-4888
Fax: (219) 663-4877
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 71006398A Indiana
Nursing Service Providers / Registered Nurse 163W00000X 28216356A Indiana

Profile Details

NPI number 1164880944
LBN Legal business name Wynsma, Kayla
Credentials AGNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2016
Last updated Jul 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164880944 NPPES
Indiana MEDICAID 201377950

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