Kyndall Caudle

Individual provider Active NPI Critical Care Medicine Registered Nurse · Ooltewah, TN

NPI 1336061555 · NPPES record last updated Jul 28, 2026

Key facts

NPI
1336061555
Entity type
Individual (NPI type 1)
Primary specialty
Critical Care Medicine Registered Nurse 163WC0200X
License
254872 (TN)
Practice address
5675 Crooked Creek Dr
Ooltewah, TN 37363-6588
Phone
(423) 650-3587
NPI assigned
Jul 28, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 254872 TN Yes

Addresses

Primary practice location

5675 Crooked Creek Dr
Ooltewah, TN 37363-6588

Mailing address

5675 Crooked Creek Dr
Ooltewah, TN 37363-6588
Phone (423) 650-3587

Other providers in Ooltewah, TN

All providers in Ooltewah, TN · Critical Care Medicine Registered Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.