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NPI Code Detail

MEDICARE: KAYLA IVEY DO

MEDICARE: KAYLA IVEY DO
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
1390200000XStudent in an Organized Health Care Education/Training Program7321OK
2207R00000XInternal Medicine Physician5102TN

General Provider Information

NPI Number : 1295363042
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA IVEY DO
Provider Business Mailing Address
First Line : 3841 GREEN HILLS VILLAGE DR STE 200
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-2691
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3601 THE VANDERBILT CLINIC
Second Line :
City : NASHVILLE
State : TN
Zip : 37232-2536
Country : US
Telephone Number : 615-322-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2020
Last Update Date : 08/16/2023

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Directions to “ KAYLA IVEY DO” Practice Location

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