Provider Demographics
NPI:1184960023
Name:COUDEN, VINCENT ROBERT (MD)
Entity type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:ROBERT
Last Name:COUDEN
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 1:216 HIDDEN CT
Mailing Address - Street 2:
Mailing Address - City:OLD HICKORY
Mailing Address - State:TN
Mailing Address - Zip Code:37138-1954
Mailing Address - Country:US
Mailing Address - Phone:615-847-4715
Mailing Address - Fax:
Practice Address - Street 1:216 HIDDEN CT
Practice Address - Street 2:
Practice Address - City:OLD HICKORY
Practice Address - State:TN
Practice Address - Zip Code:37138-1954
Practice Address - Country:US
Practice Address - Phone:615-847-4715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-21
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01022704A207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery