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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
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
09/20/2017
Last updated
09/20/2017
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