Provider Demographics
NPI:1972091833
Name:YESTE, KAILA TINDLE
Entity Type:Individual
Prefix:
First Name:KAILA
Middle Name:TINDLE
Last Name:YESTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8617 CAVATINA CT
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27539-9766
Mailing Address - Country:US
Mailing Address - Phone:407-782-5343
Mailing Address - Fax:
Practice Address - Street 1:101 MANNING DRIVE NC MEMORIAL HOSPITAL
Practice Address - Street 2:RM N1183 TO CB 7200
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599
Practice Address - Country:US
Practice Address - Phone:984-974-0295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-26
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC239300390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program