Kayla Lee Dolly, CPNP-PC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Wiley Ford, West Virginia. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
160 Shady Hill Ln, Wiley Ford, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 709-2471.
Kayla Lee Dolly is licensed to practice in West Virginia (license number 108740) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336806876.
Provider's Profile
| Full Name | Kayla Lee Dolly |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 160 Shady Hill Ln, Wiley Ford, West Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kayla Lee Dolly graduated from nursing school in 2019
NPI Data:
- NPI Number: 1336806876
- Provider Enumeration Date: 11/18/2021
- Last Update Date: 09/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 6901281237
- Enrollment ID: I20250812004497
Medical Identifiers
Medical identifiers for Kayla Lee Dolly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1336806876 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0200X | Nurse Practitioner - Pediatrics | AC007193 (Maryland) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 108740 (West Virginia) | Primary |
| 363LP0200X | Nurse Practitioner - Pediatrics | SP031560 (Pennsylvania) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kayla Lee Dolly is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kayla Lee Dolly, CPNP-PC 160 Shady Hill Ln, Wiley Ford, WV 26767-8016 Ph: (240) 624-6694 | Kayla Lee Dolly, CPNP-PC 160 Shady Hill Ln, Wiley Ford, WV 26767-8016 Ph: (304) 709-2471 |
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