Provider Demographics
NPI:1609336536
Name:CKKN, LLC
Entity Type:Organization
Organization Name:CKKN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:KOSS
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:615-507-0047
Mailing Address - Street 1:317 SEVEN SPRINGS WAY
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-4511
Mailing Address - Country:US
Mailing Address - Phone:615-846-4558
Mailing Address - Fax:615-461-1726
Practice Address - Street 1:317 SEVEN SPRINGS WAY
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4511
Practice Address - Country:US
Practice Address - Phone:615-846-4558
Practice Address - Fax:615-461-1726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-25
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty