Individual
KYLE D KAKAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1416 WILLOWBROOKE CIR, FRANKLIN, TN 37069-7199
(615) 861-9466
Mailing address
1416 WILLOWBROOKE CIR, FRANKLIN, TN 37069-7199
(156) 861-9466
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01057262
IN
207P00000X
Emergency Medicine Physician
036-116009
IL
207Q00000X
Family Medicine Physician
036116009
IL
207Q00000X
Family Medicine Physician
Primary
41240
TN
208M00000X
Hospitalist Physician
036116009
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036116009-4
—
IL
05
—
1534607
—
TN
05
—
200522020
—
IN
01
—
3932056
BLUE SHIELD
IL
Enumeration date
09/21/2006
Last updated
04/10/2025
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