Individual
MISS KAYLA RENEE MILEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
990 OAK RIDGE TPKE, OAK RIDGE, TN 37830-6976
(865) 835-1000
Mailing address
410 BROOKSTONE RIDGE DR, CLINTON, TN 37716-5571
(865) 208-4597
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0000242597
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000242597
NURSING LICENSE
TN
Enumeration date
03/27/2020
Last updated
03/27/2020
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