Provider Demographics
NPI:1366714420
Name:HERRON, KAYLA K (PA)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:K
Last Name:HERRON
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Gender:F
Credentials:PA
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Mailing Address - Street 1:10426 JACKSON OAKS WAY STE 103
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-0709
Mailing Address - Country:US
Mailing Address - Phone:865-200-4874
Mailing Address - Fax:919-583-6471
Practice Address - Street 1:220 ASSOCIATES BLVD
Practice Address - Street 2:
Practice Address - City:ALCOA
Practice Address - State:TN
Practice Address - Zip Code:37701-1943
Practice Address - Country:US
Practice Address - Phone:865-238-6400
Practice Address - Fax:865-238-6404
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-06
Last Update Date:2024-09-12
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Provider Licenses
StateLicense IDTaxonomies
TN2081363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical