Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kayla Beth Sullivan

Individual provider Family Nurse Practitioner · NPI 1891650115

Kayla Beth Sullivan is a Nurse Practitioner in Glasgow, Kentucky. Qualified in 2025, 1 year ago. Practices with Pendleton Family Care, a 3-clinician group and offers telehealth. Licensed in Kentucky.

Years since qualifying
1
Licensed in
KY
In the registry since
2025
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Practice location Address checks out

1412 N Race St
Glasgow, KY 42141-3473
Phone: (270) 629-6333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4048978 (KY)

Record details

NPI number1891650115
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 18, 2025
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025
Mailing address1412 N Race St, Glasgow, KY 42141-3473

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Pendleton Family Care — 3 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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