Organization
KENNY W. LYNN, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNY W LYNN M.D. (PHYSICIAN)
(931) 528-7418
Entity
Organization
Contact information
Practice address
210 N CEDAR AVE, COOKEVILLE, TN 38501-2419
(931) 528-7418
(931) 525-6165
Mailing address
210 N CEDAR AVE, COOKEVILLE, TN 38501-2419
(931) 528-7418
(931) 525-6165
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10796
MEDICAL LICENSE
TN
05
—
3174362
—
TN
Enumeration date
12/29/2006
Last updated
08/22/2020
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