Provider Demographics
NPI:1073323465
Name:MURPHREE, KAYLA BROOKE (RD)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:BROOKE
Last Name:MURPHREE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8756 CHAFFEE RD # 323
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:TN
Mailing Address - Zip Code:38014-8001
Mailing Address - Country:US
Mailing Address - Phone:901-937-9026
Mailing Address - Fax:
Practice Address - Street 1:9295 CANABRIDGE DR
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:TN
Practice Address - Zip Code:38002-4373
Practice Address - Country:US
Practice Address - Phone:901-937-9026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
86376892133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered