Polston, Kayla

Polston, Kayla is an individual health care provider with primary practice located at 591 S Knik Goose Bay Rd , Wasilla AK 99654-8062. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Polston, Kayla can be contacted via phone (907) 313-1333.

Contact Information

Primary practice address
591 S Knik Goose Bay Rd Wasilla AK 99654-8062
Phone: (907) 313-1333
Fax: (907) 357-8781
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1144885930
LBN Legal business name Polston, Kayla
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2019
Last updated Jun 11th, 2020 - about 6 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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