Individual
KAYLA MARIE MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
650 JOEL DRIVE, BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT CAMPBELL, KY 42223
(270) 798-8445
(270) 956-0227
Mailing address
650 JOEL DRIVE, BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT CAMPBELL, KY 42223
(270) 798-8445
(270) 956-0227
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0000148840
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000148840
RN LICENSE
TN
Enumeration date
09/06/2006
Last updated
07/08/2007
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