# KEN HOMOLYA, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Integrity Pain Consultants
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770940249
- **Authorized official:** KENNETH M. HOMOLYA MD (OWNER)
- **Authorized official phone:** (931) 372-1799

## Contact information

- **Practice address:** 406 N WHITNEY AVE STE 2, COOKEVILLE, TN 38501-4243
- **Practice address phone:** (931) 372-1799
- **Practice address fax:** (931) 372-1866
- **Mailing address:** 103 HAZEL PATH STE 7, HENDERSONVILLE, TN 37075-3893
- **Mailing address phone:** (615) 431-5484
- **Mailing address fax:** (615) 447-5959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/28/2016
- **Last updated:** 09/20/2017