NPI Code Details Logo

NPI 1235153446

NPI 1235153446 : KEVIN BOYD COLLEN M.D. : BRENTWOOD, TN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1235153446
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    KEVIN BOYD COLLEN M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/27/2006
-----------------------------------------------------
    Last Update Date     |    06/05/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    9020 OVERLOOK BLVD STE 130 
-----------------------------------------------------
    City                 |    BRENTWOOD
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37027-3259
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    865-588-3173
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2809 ACKLEN AVE 
-----------------------------------------------------
    City                 |    NASHVILLE
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37212-3311
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    615-969-9680
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2084P0800X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatry Physician
-----------------------------------------------------
    License Number       |    38029
-----------------------------------------------------
    License Number State |    TN
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.