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

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

Practice location Address checks out

1412 N Race St
Glasgow, KY 42141-3473
Phone: (270) 629-6333
Show map & directions

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

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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