Provider Demographics
NPI:1538054580
Name:DYKE, SHIRLEY KAY
Entity type:Individual
Prefix:MRS
First Name:SHIRLEY
Middle Name:KAY
Last Name:DYKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6133 CLINE RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37938-2312
Mailing Address - Country:US
Mailing Address - Phone:865-257-7079
Mailing Address - Fax:
Practice Address - Street 1:6133 CLINE RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37938-2312
Practice Address - Country:US
Practice Address - Phone:865-257-7079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider