Individual provider · Type 1 NPI

Kayla Roller, APRN

Nurse Practitioner · Edgewood, KY

NPI number 1174291512 Active

Practice location

1 Medical Village Dr
Edgewood, KY 41017-3403

Fax (859) 426-4140

Mailing address

PO Box 636324
Cincinnati, OH 45263-6324

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X0029447 (OH)
Nurse Practitioner Primary 363L00000X3016682 (KY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1174291512

Kayla Roller, APRN's National Provider Identifier is 1174291512, issued on Sep 1, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Edgewood, KY. The record was last updated on Dec 18, 2025.