Provider Demographics
NPI:1609647361
Name:KYEK, BRENDAN (APRN, RN, CCP, FNP)
Entity type:Individual
Prefix:
First Name:BRENDAN
Middle Name:
Last Name:KYEK
Suffix:
Gender:M
Credentials:APRN, RN, CCP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 DICK LONAS RD UNIT 101
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-1383
Mailing Address - Country:US
Mailing Address - Phone:865-584-4747
Mailing Address - Fax:865-381-1509
Practice Address - Street 1:1924 PINNACLE POINTE WAY STE 100
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-3700
Practice Address - Country:US
Practice Address - Phone:865-584-5762
Practice Address - Fax:833-908-2102
Is Sole Proprietor?:No
Enumeration Date:2024-01-11
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35492363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily