Provider Demographics
NPI:1164766564
Name:MCFADDIN-DYE, KAYLA LYNN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:LYNN
Last Name:MCFADDIN-DYE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:LYNN
Other - Last Name:MCFADDIN-DYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:31 MIDWAY ST
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:VA
Mailing Address - Zip Code:24201-3246
Mailing Address - Country:US
Mailing Address - Phone:276-642-0032
Mailing Address - Fax:
Practice Address - Street 1:31 MIDWAY ST
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:VA
Practice Address - Zip Code:24201-3246
Practice Address - Country:US
Practice Address - Phone:276-642-0032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-26
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02022117911835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist