Provider Demographics
NPI:1407025380
Name:KCA, PLLC
Entity Type:Organization
Organization Name:KCA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:
Authorized Official - Last Name:KOPECKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-550-1800
Mailing Address - Street 1:4323 CAROTHERS PKWY
Mailing Address - Street 2:WILLIAMSON MEDICAL CENTER-SUITE 609
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-5914
Mailing Address - Country:US
Mailing Address - Phone:615-550-1800
Mailing Address - Fax:615-550-1801
Practice Address - Street 1:4323 CAROTHERS PKWY
Practice Address - Street 2:WILLIAMSON MEDICAL CENTER-SUITE 609
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5914
Practice Address - Country:US
Practice Address - Phone:615-550-1800
Practice Address - Fax:615-550-1801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN37861174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty