Provider Demographics
NPI:1326591454
Name:PERRY, KAYLA TANYEE (MSN)
Entity Type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:TANYEE
Last Name:PERRY
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:TANYEE
Other - Last Name:CATES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 976
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37367-0976
Mailing Address - Country:US
Mailing Address - Phone:423-447-6287
Mailing Address - Fax:
Practice Address - Street 1:3625 MAIN ST
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37367-5319
Practice Address - Country:US
Practice Address - Phone:423-447-6287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-25
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000021256363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily