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
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/28/2016
Last updated
09/20/2017
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