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General NPI Number Information
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NPI Number | 1831297761
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Entity Type | Individual
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Provider Name | KYLE D KAKAC MD
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Gender | Male
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 1416 WILLOWBROOKE CIR
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City | FRANKLIN
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State | TN
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Zip | 37069-7199
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Country | US
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Telephone | 615-861-9466
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Fax |
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Provider Business Mailing Address
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Address Line | 1416 WILLOWBROOKE CIR
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City | FRANKLIN
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State | TN
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Zip | 37069-7199
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Country | US
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Telephone | 156-861-9466
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 036-116009
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036116009
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 036116009
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 41240
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 01057262
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License Number State | IN
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