Individual
KENNETH MICHAEL HOMOLYA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 FRANKLIN RD, SUITE 135A #295, BRENTWOOD, TN 37027-3280
(615) 431-5484
(615) 447-5959
Mailing address
625 JOHNNY CASH BLVD, STE 3, HENDERSONVILLE, TN 37075-2602
(615) 431-5484
(615) 447-5959
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
45952
TN
Other
Enumeration date
02/13/2007
Last updated
10/19/2020
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