Ken Homolya, MD, LLC
Anesthesiology, Pain Medicine in Cookeville, TN. Organization (NPI-2).
NPI number1770940249
StatusActive
Last updated in NPPESSep 20, 2017
Details
- NPI
- 1770940249
- Entity type
- Organization (NPI-2)
- Legal business name
- Ken Homolya, MD, LLC
- Organization subpart
- No
- Enumeration date
- Jan 28, 2016
- Last updated
- Sep 20, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LP2900X | Anesthesiology, Pain Medicine | – | – | Yes |
| 363L00000X | Nurse Practitioner | – | – |
Other names
- Integrity Pain Consultants (Doing Business As)
Practice location
406 N Whitney Ave Ste 2Cookeville, TN 38501-4243
Phone 931-372-1799 · Fax 931-372-1866
Mailing address
103 Hazel Path Ste 7Hendersonville, TN 37075-3893
Phone 615-431-5484 · Fax 615-447-5959
Authorized official
Kenneth M. Homolya
Owner
9313721799
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