Brummitte Newcomb, Kayla Renee

Brummitte Newcomb, Kayla Renee is an individual health care provider with primary practice located at 598 John Deere Dr , Maynardville TN 37807-3212. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brummitte Newcomb, Kayla Renee can be contacted via phone (865) 745-1868.

Contact Information

Primary practice address
598 John Deere Dr Maynardville TN 37807-3212
Phone: (865) 745-1868
Fax: (865) 745-1873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F0911356 Tennessee

Profile Details

NPI number 1720374697
LBN Legal business name Brummitte Newcomb, Kayla Renee
Credentials FNP-C, BSN, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2011
Last updated Apr 16th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720374697 NPPES
Tennessee MEDICAID 1527270

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