Provider Demographics
NPI:1497984256
Name:CAGLE, KAYLA LANAE (LPN)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:LANAE
Last Name:CAGLE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2680 LAWSON MILL RD
Mailing Address - Street 2:
Mailing Address - City:MC MINNVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37110-5067
Mailing Address - Country:US
Mailing Address - Phone:931-668-7333
Mailing Address - Fax:
Practice Address - Street 1:2680 LAWSON MILL RD
Practice Address - Street 2:
Practice Address - City:MC MINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-5067
Practice Address - Country:US
Practice Address - Phone:931-668-7333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-14
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPN0000074896164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse