NPI

Kayla Ann Ebben

NPI 1619521846

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
RN
Type
Individual
Enumeration date
2019-07-25
Last updated
2019-12-31

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Specialties

Licenses

License WI
241330

Location

Practice location
N4673 Mayflower Rd
City
Black Creek WI
Postal code
54106-8025
Phone
(920) 757-5716

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Black Creek, WI. 20 records in the public file.

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