Provider Demographics
NPI:1003701723
Name:MCMAHAN, KYLIE (MS)
Entity type:Individual
Prefix:
First Name:KYLIE
Middle Name:
Last Name:MCMAHAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 MALLORY ST APT 5
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-5337
Mailing Address - Country:US
Mailing Address - Phone:615-708-2433
Mailing Address - Fax:
Practice Address - Street 1:521 STONECREST PKWY STE 102
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-6897
Practice Address - Country:US
Practice Address - Phone:615-247-6831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health