Individual
KYLE B COGHLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
299A INDIAN LAKE BLVD, HENDERSONVILLE, TN 37075-6384
(615) 824-2926
(615) 824-9735
Mailing address
299A INDIAN LAKE BLVD, HENDERSONVILLE, TN 37075-6384
(615) 824-2926
(615) 824-9735
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
122300000X
Dentist
Primary
10566
TN
Other
Enumeration date
10/02/2007
Last updated
07/21/2022
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