Healthcare Provider Details

I. General information

NPI: 1821617440
Provider Name (Legal Business Name): KAYLA SEARLES CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAYLA SAMPSON CPM

II. Dates (important events)

Enumeration Date: 04/14/2020
Last Update Date: 02/09/2023
Certification Date: 02/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 CONCORD CROSSING LN
KNOXVILLE TN
37934-5106
US

IV. Provider business mailing address

801 CONCORD CROSSING LN
KNOXVILLE TN
37934-5106
US

V. Phone/Fax

Practice location:
  • Phone: 207-272-2862
  • Fax:
Mailing address:
  • Phone: 207-272-2862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number95
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: