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Individual

KENT ALLEN COLBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
222 22ND AVE N, SUITE 100, NASHVILLE, TN 37203-1870
(615) 916-3825
(615) 916-3826
Mailing address
1670 UPHAM DR, COLUMBUS, OH 43210-1250
(614) 293-9600

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2157
TN
2084P0800X
Psychiatry Physician
Primary
34005379
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1520597
TN
Enumeration date
11/21/2006
Last updated
11/21/2019
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