Healthcare Provider Details

I. General information

NPI: 1104453760
Provider Name (Legal Business Name): KACIE HOYLE DENTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2020
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 CHILDRENS WAY 10233 DOCTOR'S OFFICE TOWER
NASHVILLE TN
37232-0005
US

IV. Provider business mailing address

2200 CHILDRENS WAY
NASHVILLE TN
37232-0005
US

V. Phone/Fax

Practice location:
  • Phone: 423-439-7320
  • Fax:
Mailing address:
  • Phone: 423-439-7320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number68706
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: