Kenneth T Bedock PA

NPI 1780826461 - Physician Assistant - 363AS0400X

NPI Details
NPI 1780826461
Gender Male
Enumeration Date 03/27/2009
Last Updated 03/27/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1220 TROTWOOD AVE
SUITE 401
COLUMBIA TN, 38401-6433, US
Phone (931) 388-6550
Fax (931) 388-6459
Business Location
854 W JAMES CAMPBELL BLVD
SUITE 303A
COLUMBIA TN, 38401-4659, US
Phone (931) 540-4255
Fax (931) 490-4654
Toxanomy
Taxonomy Code 363AS0400X
License State Tennessee
License Number 649
Remove 1780826461 NPI Number
 

According to our database, Kenneth T Bedock PA NPI is 1780826461, taxonomy code is 363AS0400X and license number is 649, license state is located at Tennessee. Kenneth T Bedock PA physically located at 1220 Trotwood Ave, Columbia TN, 38401-6433. NPI Number Kenneth T Bedock PA has the Individual type.

Sponsored links

1780826461 NPI number is provided on an as is basis without warranty of any kind. 1780826461 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth T Bedock PA are for informational purposes only.