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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)
(931) 372-1799
Entity
Organization
Contact information
Practice address
406 N WHITNEY AVE STE 2, COOKEVILLE, TN 38501-4243
(931) 372-1799
(931) 372-1866
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
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/28/2016
Last updated
09/20/2017
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