Individual
DR. KENNETH LEE COLBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4120 BRADFORD HICKS DR, LIVINGSTON, TN 38570-2213
(931) 823-5603
(931) 403-0574
Mailing address
4120 BRADFORD HICKS DR, LIVINGSTON, TN 38570-2213
(931) 823-5603
(931) 403-0574
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21497
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3060384
—
TN
Enumeration date
07/26/2005
Last updated
04/20/2018
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