MEDICARE: DR. KAYLA MARIE BRADFORD PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	49539	TN

General Provider Information

NPI Number	:	1316898034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAYLA MARIE BRADFORD PHARMD

Provider Business Mailing Address
First Line	:	910 LOBLOLLY LN
Second Line	:
City	:	MARYVILLE
State	:	TN
Zip	:	37801-1003
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3588 WORKMAN RD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37921-5932
Country	:	US
Telephone Number	:	865-437-6803
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2026
Last Update Date	:	04/06/2026

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