Healthcare Provider Details

I. General information

NPI: 1083531826
Provider Name (Legal Business Name): KACEE R SOEHNLEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5040 CAROTHERS PKWY
FRANKLIN TN
37067-6020
US

IV. Provider business mailing address

2905 PARTHENON AVE APT 304
NASHVILLE TN
37203-1259
US

V. Phone/Fax

Practice location:
  • Phone: 615-656-0217
  • Fax:
Mailing address:
  • Phone: 330-340-0365
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number13233
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: