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General NPI Number Information
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NPI Number | 1851574578
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Entity Type | Organization
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Legal Business Name | KENT KYGER MD PC
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Dates
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Enumeration Date | 12/17/2007
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Last Update Date | 12/18/2007
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Provider Practice Location Address
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Address Line | 2011 ASHWOOD AVE
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City | NASHVILLE
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State | TN
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Zip | 37212-5015
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Country | US
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Telephone | 615-383-4694
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Fax | 615-383-0228
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Provider Business Mailing Address
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Address Line | 2011 ASHWOOD AVE
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City | NASHVILLE
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State | TN
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Zip | 37212-5015
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Country | US
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Telephone | 615-383-4694
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Fax | 615-383-0228
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DR. KENT KYGER
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Credential | MD
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Telephone | 615-383-4694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MD3820
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License Number State | TN
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