Provider Demographics
NPI:1154106458
Name:KILE, CAITLIN MCCABE (DNP, FNP)
Entity type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:MCCABE
Last Name:KILE
Suffix:
Gender:F
Credentials:DNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 BUENA VISTA AVE
Mailing Address - Street 2:
Mailing Address - City:SWEETWATER
Mailing Address - State:TN
Mailing Address - Zip Code:37874-3306
Mailing Address - Country:US
Mailing Address - Phone:828-803-4830
Mailing Address - Fax:
Practice Address - Street 1:321 TELLICO ST S
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37354-1194
Practice Address - Country:US
Practice Address - Phone:423-442-9711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN34573363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner