Provider Demographics
NPI:1700894508
Name:COOL SPRINGS FAMILY MEDICINE, PLC
Entity Type:Organization
Organization Name:COOL SPRINGS FAMILY MEDICINE, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:BENNETT
Authorized Official - Last Name:KALB
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:615-661-8308
Mailing Address - Street 1:4091 MALLORY LN
Mailing Address - Street 2:SUITE 118
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-4849
Mailing Address - Country:US
Mailing Address - Phone:615-791-0026
Mailing Address - Fax:
Practice Address - Street 1:4091 MALLORY LN
Practice Address - Street 2:SUITE 118
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-4849
Practice Address - Country:US
Practice Address - Phone:615-791-0026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3336878Medicare ID - Type Unspecified