Healthcare Provider Details

I. General information

NPI: 1477764769
Provider Name (Legal Business Name): KIRA COOLEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2996 KATE BOND RD STE 413
BARTLETT TN
38133-4030
US

IV. Provider business mailing address

2996 KATE BOND RD STE 413
BARTLETT TN
38133-4063
US

V. Phone/Fax

Practice location:
  • Phone: 901-937-0038
  • Fax: 901-379-0091
Mailing address:
  • Phone: 901-937-0038
  • Fax: 901-379-0091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number47051
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number57011514
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: