Provider Demographics
NPI:1720846983
Name:SWILLING, KAYLA (BS RN IBCLC CLS)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:SWILLING
Suffix:
Gender:F
Credentials:BS RN IBCLC CLS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2420 CHUKAR RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-1007
Mailing Address - Country:US
Mailing Address - Phone:515-480-6184
Mailing Address - Fax:
Practice Address - Street 1:2420 CHUKAR RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-1007
Practice Address - Country:US
Practice Address - Phone:865-297-2190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL-313023163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant