Healthcare Provider Details

I. General information

NPI: 1912313131
Provider Name (Legal Business Name): ZACHARY ROBERT KALB D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2014
Last Update Date: 06/06/2023
Certification Date: 06/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 EDWARD CURD LN
FRANKLIN TN
37067-5791
US

IV. Provider business mailing address

3000 EDWARD CURD LN
FRANKLIN TN
37067-5791
US

V. Phone/Fax

Practice location:
  • Phone: 615-791-2657
  • Fax: 615-791-2639
Mailing address:
  • Phone: 615-791-2657
  • Fax: 615-791-2639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number2018-00605
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: