Individual provider · Type 1 NPI
Kayla Lee Dolly, CPNP-PC
Pediatric Nurse Practitioner · Wiley Ford, WV
NPI number
1336806876
Active
Practice location
160 Shady Hill Ln
Wiley Ford, WV 26767-8016
Other practice locations
- 1 Medical Center Dr, Morgantown, WV 26506-1200 · (304) 598-4140
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AC007193 (MD) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 108740 (WV) |
| Pediatric Nurse Practitioner | 363LP0200X | SP031560 (PA) |
Pediatric Nurse Practitioner: Definition to come...
About NPI 1336806876
Kayla Lee Dolly, CPNP-PC's National Provider Identifier is 1336806876, issued on Nov 18, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Wiley Ford, WV. The record was last updated on Sep 17, 2025.