MR. KENNETH ROY HENRY


Address: 3939 Central Pike, Hermitage, TN 37076-3499
Phone: 6158832331

MR. KENNETH ROY HENRY (NPI# 1295748408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295748408
Entity Type Individual
Full Name MR. KENNETH ROY HENRY
Credential P.A.-C.
Practice Address 3939 Central Pike
Hermitage
TN 37076-3499
Mailing Address 115 New Halltown Rd
Hartsville
TN 37074-1929
Practice Telephone 6158832331
Mailing Telephone 6153740006
Enumeration Date 2006-08-15
Last Update Date 2012-04-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
749 TN Physician Assistants & Advanced Practice Nursing Providers

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1689754012 Kenneth George Henry Audiologist 163 Thomas Johnson Dr Ste H, Frederick, MD 21702-4673 2006-10-17
1336315654 Kenneth Ray Henry Counselor 1937 W Chapman Ave Ste 220, Orange, CA 92868-2633 2008-05-06
1912110248 Kenneth J Henry Dentist 6841 Coit Rd, Plano, TX 75024-5417 2007-05-07

Office Location

Street Address 3939 CENTRAL PIKE
City HERMITAGE
State TN
Zip Code 37076-3499

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710968037 Richard Y Pak Family Medicine 3939 Central Pike, Hermitage, TN 37076 2005-11-14
1184011835 Khaisha Verdelle Gist Family Medicine 3939 Central Pike, Hermitage, TN 37076-3499 2015-04-21
1538479688 Demetria Edwards Physician Assistant 3939 Central Pike, Hermitage, TN 37076-3499 2010-10-07
1023340809 Michael Warren Physician Assistant 3939 Central Pike, Hermitage, TN 37076-3499 2010-02-04
1225364748 Amanda Sher Fallos Physician Assistant 3939 Central Pike, Hermitage, TN 37076-3499 2009-10-19
1386712339 Kari Hammer Physician Assistant 3939 Central Pike, Hermitage, TN 37076-3410 2006-11-30
1255419255 Summit Primary Care Family Medicine 3939 Central Pike, Hermitage, TN 37076-3499 2006-11-01
1508884875 Matthew H Milligan Family Medicine 3939 Central Pike, Hermitage, TN 37076-3499 2006-07-17
1740225887 Summit Primary Care Non-Pharmacy Dispensing Site 3939 Central Pike, Hermitage, TN 37076-3410 2006-06-20
1730161985 Edward L King Family Medicine 3939 Central Pike, Hermitage, TN 37076 2005-11-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255996583 Cassandra Renea Brown Dietitian, Registered 5653 Frist Blvd Suite 530, Hermitage, TN 37076 2019-05-02
1164979753 Chelsea Douglas Nurse Practitioner 5565 Frist Boulevard, Hermitage, TN 37076 2016-09-01
1417333568 Middle Tennessee Homes Intermediate Care Facility, Mentally Retarded 3207 Earhart Road, Hermitage, TN 37076 2015-07-30
1578944187 Middle Tennesse Homes Intermediate Care Facility, Mentally Retarded 3209 Earhart Road, Hermitage, TN 37076 2015-06-10
1063835585 Rachel Jane Morris Occupational Therapist 1621 Robindale Dr, Hermitage, TN 37076 2014-02-04
1427488154 Earhart 1 Intermediate Care Facility, Mentally Retarded 3156 Earhart Rd, Nashville, TN 37076 2013-11-15
1669802393 Tulip Grove #2 Intermediate Care Facility, Mentally Retarded 877 Tulip Grove Rd, Nashville, TN 37076 2013-11-15
1780014514 Tulip Grove Road #1 Intermediate Care Facility, Mentally Retarded 869 Tulip Grove Rd, Nashville, TN 37076 2013-11-14
1215365440 Hospital Based Medical Services of Tennessee-i PC Physician Assistant 5655 First Blvd, Hermitage, TN 37076 2013-10-25
1942545686 Helping Hands Support Center, Inc. Home Health 4060 Andrew Jackson Pkwy #907, Hermitage, TN 37076 2012-12-06
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649664368 Nicole Recinos Physician Assistant 5651 Frist Blvd Ste 200, Hermitage, TN 37076-2056 2015-03-19
1467794198 Angela Rose Reino Physician Assistant 2999 Presidential Blvd, Sharon Cardiology Specialists, Hermitage, PA 16148 2013-03-20
1457635724 Samantha D Johnston Physician Assistant 3068 Innovation Way, Hermitage, PA 16148-7906 2011-10-05
1356625651 Bethany Nicole Hill Physician Assistant 5651 Frist Blvd, Suite 200, Hermitage, TN 37076-2054 2011-10-05
1023340809 Michael Warren Physician Assistant 3939 Central Pike, Hermitage, TN 37076-3499 2010-02-04
1497083455 Dustin D Henegan Physician Assistant 1005 Campus Cir, Hermitage, PA 16148-7901 2009-12-02
1225364748 Amanda Sher Fallos Physician Assistant 3939 Central Pike, Hermitage, TN 37076-3499 2009-10-19
1922274448 Kristie Shumaker Physician Assistant 3068 Innovation Way, Hermitage, PA 16148-7906 2008-05-05
1386833036 Elizabeth Elliott Physician Assistant 2999 Presidential Blvd, Hermitage, PA 16148-3689 2007-10-18
1174560114 Donna Price Physician Assistant 2999 Presidential Blvd, Hermitage, PA 16148-3689 2006-05-31
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Competitor

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City HERMITAGE
Zip Code 37076

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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