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Organization
KEN HOMOLYA MD LLC
Active
Organization
KEN HOMOLYA MD LLC
Active
Other names
Integrity Pain Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH M HOMOLYA MD (OWNER)
(615) 431-5484
Entity
Organization
Contact information
Practice address
5114 OLD HICKORY BLVD STE 201, HERMITAGE, TN 37076-2590
(615) 850-6960
(615) 777-3393
Mailing address
103 HAZEL PATH STE 7, HENDERSONVILLE, TN 37075-3893
(615) 431-5484
(615) 447-5959
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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