| Kevin B. Collen, M.d. Pllc | |
|
2011 Ashwood Ave Nashville TN 37212-5015 | |
| (615) 383-4694 | |
| (615) 383-0228 |
| Full Name | Kevin B. Collen, M.d. Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2011 Ashwood Ave, Nashville, Tennessee |
| Authorized Official Name and Position | Kevin B. Collen (OWNER) |
| Authorized Official Contact | 6159699680 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin B. Collen, M.d. Pllc 2809 Acklen Ave Nashville TN 37212-3311 Ph: (615) 969-9680 | Kevin B. Collen, M.d. Pllc 2011 Ashwood Ave Nashville TN 37212-5015 Ph: (615) 383-4694 |
| NPI Number | 1326306374 |
|---|---|
| Provider Enumeration Date | 04/27/2012 |
| Last Update Date | 04/27/2012 |
| Medicare PECOS PAC ID | 4880859412 |
|---|---|
| Medicare Enrollment ID | O20120706000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326306374 | NPI | - | NPPES |
| 3327656 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 38029 (Tennessee) | Primary |
| Provider Name | Kevin B Collen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235153446 PECOS PAC ID: 3375586688 Enrollment ID: I20050608000082 |
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