Provider Demographics
NPI:1104667013
Name:KYLE, CLAY ARROW (RN)
Entity type:Individual
Prefix:MRS
First Name:CLAY
Middle Name:ARROW
Last Name:KYLE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:CLAY
Other - Middle Name:ARROW
Other - Last Name:KYLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CLAY KYLE MSN, RN
Mailing Address - Street 1:200 TECH CENTER DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37912-2747
Mailing Address - Country:US
Mailing Address - Phone:865-637-9711
Mailing Address - Fax:
Practice Address - Street 1:1515 SAINT MARY ST
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37917-4503
Practice Address - Country:US
Practice Address - Phone:865-637-9711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN124720163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse