Provider Demographics
NPI:1215651815
Name:COFFMAN, KAYLIN RENAE (APRN)
Entity type:Individual
Prefix:MRS
First Name:KAYLIN
Middle Name:RENAE
Last Name:COFFMAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:2620 ELM HILL PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-3108
Mailing Address - Country:US
Mailing Address - Phone:615-425-4200
Mailing Address - Fax:
Practice Address - Street 1:105 PRATHER PATH STE 2100
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:KY
Practice Address - Zip Code:40324-9206
Practice Address - Country:US
Practice Address - Phone:859-340-1377
Practice Address - Fax:859-987-1107
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-28
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY3018408363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily