Provider Demographics
NPI:1679198451
Name:MCPHERSON, CAYLAN (DO)
Entity Type:Individual
Prefix:
First Name:CAYLAN
Middle Name:
Last Name:MCPHERSON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CAYLAN
Other - Middle Name:
Other - Last Name:BYBEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:529 CAPP HARLAN RD
Mailing Address - Street 2:
Mailing Address - City:TOMPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42167-1808
Mailing Address - Country:US
Mailing Address - Phone:270-487-9231
Mailing Address - Fax:270-487-5784
Practice Address - Street 1:606 N MAIN ST
Practice Address - Street 2:
Practice Address - City:TOMPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42167-1128
Practice Address - Country:US
Practice Address - Phone:270-487-6161
Practice Address - Fax:270-487-8009
Is Sole Proprietor?:No
Enumeration Date:2020-06-08
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY05350207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine