Healthcare Provider Details

I. General information

NPI: 1720908528
Provider Name (Legal Business Name): KAYLA SHAE CHAMBERS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18157 ALBERTA ST
ONEIDA TN
37841-6201
US

IV. Provider business mailing address

882 OLD BRIMSTONE RD
HELENWOOD TN
37755-5434
US

V. Phone/Fax

Practice location:
  • Phone: 423-569-5555
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: