Provider Demographics
NPI:1417245838
Name:RIGSBY, KYLE MASON (MS)
Entity type:Individual
Prefix:MR
First Name:KYLE
Middle Name:MASON
Last Name:RIGSBY
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1803 GRANVILLE RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-2076
Mailing Address - Country:US
Mailing Address - Phone:615-804-2050
Mailing Address - Fax:615-465-8495
Practice Address - Street 1:7003 CHADWICK DR
Practice Address - Street 2:BUILDING ONE, SUITE 258
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5232
Practice Address - Country:US
Practice Address - Phone:615-804-2050
Practice Address - Fax:615-465-8495
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-19
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional