MEDICARE: DR. KRISTEN S. COLLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	35090709	OH
2	207R00000X	Internal Medicine Physician	2005018835	MO
3	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	35090709	OH
4	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	0101261260	VA
5	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	38920	TN

General Provider Information

NPI Number	:	1932151115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTEN S. COLLER MD

Provider Business Mailing Address
First Line	:	1718 PATTERSON ST
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2926
Country	:	US
Telephone Number	:	615-320-1085
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 MEDICAL CENTER DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-0028
Country	:	US
Telephone Number	:	615-322-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	10/25/2018

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