Individual ProviderKala PauleyNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1931 Martin Luther King Jr Blvd, Panama City, FL 32405-5314(850) 215-7093PECOS EnrollmentBased on the most recent information from CMS, provider Kala Pauley does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1033594601Provider TypeIndividualFull NamePauley, KalaCredentialARNPGenderFemaleSole ProprietorNoEnumeration Date7/24/2015Last Updated7/24/2015Contact InformationPractice LocationPractice Address1931 Martin Luther King Jr Blvd, Panama City, FL 32405-5314Phone(850) 215-7093Fax(850) 215-7096Mailing LocationMailing Address1931 Martin Luther King Jr Blvd, Panama City, FL 32405-5314Phone(850) 215-7093Fax(850) 215-7096Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP9413314FloridaProvider IdentifiersIDDescriptionIssuerIDARNP9413314DescriptionOtherIssuerFLORIDA LICENSEFlorida