Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kalynn Camacho

Individual provider Physician Assistant · NPI 1174307441

Kalynn Camacho is a Physician Assistant in Mount Juliet, Tennessee. Qualified in 2023, 3 years ago. Practices with The Little Clinic of Tennessee LLC, a 133-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
3
Licensed in
TN
In the registry since
2023

Practice location Address checks out

401 S Mount Juliet Rd
Mount Juliet, TN 37122-6359
Phone: (615) 758-1524
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5775 (TN)

Record details

NPI number1174307441
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 18, 2023
Last updated in NPPESDecember 21, 2023
Certification dateDecember 21, 2023
Mailing address2620 Elm Hill Pike, Nashville, TN 37214-3108

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice The Little Clinic Of Tennessee Llc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Mount Juliet