Individual
TRAVIS KYLE LAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-2380
(615) 322-5000
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10261499-1206
UT
363A00000X
Physician Assistant
Primary
580
TN
363AM0700X
Medical Physician Assistant
PA580
TN
Other
Enumeration date
10/11/2005
Last updated
05/13/2026
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