Coreen Kelly Havron, PT is a
Physical Therapist based in Pegram, Tennessee. Coreen Kelly Havron is licensed to practice in Tennessee (license number 6948) and her current practice location is
9011 Old Charlotte Pike, Pegram, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(615) 216-5540.
NPI number for Coreen Kelly Havron is 1417185869 and her current mailing address is 9011 Old Charlotte Pike, Pegram, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417185869.
Healthcare Provider's Profile
Full Name | Coreen Kelly Havron |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 9011 Old Charlotte Pike, Pegram, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417185869
- Provider Enumeration Date: 06/24/2009
- Last Update Date: 06/24/2009
Medical Identifiers
Medical identifiers for Coreen Kelly Havron such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417185869 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 6948 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Coreen Kelly Havron is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Coreen Kelly Havron, PT 9011 Old Charlotte Pike, Pegram, TN 37143-9422 Ph: (615) 216-5540 | Coreen Kelly Havron, PT 9011 Old Charlotte Pike, Pegram, TN 37143-9422 Ph: (615) 216-5540 |
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