Provider Demographics
NPI:1235153446
Name:COLLEN, KEVIN BOYD (MD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:BOYD
Last Name:COLLEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2809 ACKLEN AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-3311
Mailing Address - Country:US
Mailing Address - Phone:615-969-9680
Mailing Address - Fax:
Practice Address - Street 1:1201 LIBERTY PIKE STE 205
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5646
Practice Address - Country:US
Practice Address - Phone:615-637-1532
Practice Address - Fax:888-531-4168
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD00000380292084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNI30094Medicare UPIN