Provider Demographics
NPI:1942915574
Name:CONNER, KAYLEE RENEE (APRN)
Entity Type:Individual
Prefix:
First Name:KAYLEE
Middle Name:RENEE
Last Name:CONNER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:KAYLEE
Other - Middle Name:RENEE
Other - Last Name:SAWYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8640 KINGMAN CT
Mailing Address - Street 2:
Mailing Address - City:OAK GROVE
Mailing Address - State:KY
Mailing Address - Zip Code:42262-9132
Mailing Address - Country:US
Mailing Address - Phone:931-980-8674
Mailing Address - Fax:
Practice Address - Street 1:412 DR DB TODD JR BLVD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2838
Practice Address - Country:US
Practice Address - Phone:866-711-1717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN33154363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health