Provider Demographics
NPI:1801173695
Name:WEBB, KYLA BROOKS (RN)
Entity type:Individual
Prefix:
First Name:KYLA
Middle Name:BROOKS
Last Name:WEBB
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TENNESSEE DEPARTMENT OF HEALTH MID
Mailing Address - Street 2:710 HART LANE
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37243-0001
Mailing Address - Country:US
Mailing Address - Phone:615-650-7057
Mailing Address - Fax:
Practice Address - Street 1:TENNESSEE DEPARTMENT OF HEALTH MID
Practice Address - Street 2:710 HART LANE
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37243-0001
Practice Address - Country:US
Practice Address - Phone:615-650-7057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN68040163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator