DR. KENNY WAYNE LYNN (NPI# 1336102912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336102912 |
| Entity Type | Individual |
| Full Name | DR. KENNY WAYNE LYNN |
| Credential | M.D. |
| Practice Address |
210 W. Cedar Ave Cookeville TN 38501-2419 |
| Mailing Address |
210 N Cedar Ave Cookeville TN 38501-2419 |
| Practice Telephone | 9315287418 |
| Practice Fax Number | 9315256165 |
| Mailing Telephone | 9315287418 |
| Mailing Fax Number | 9315256165 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2009-12-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 10796 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
210 W. CEDAR AVE |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184610859 | Upper Cumberland Orthopedic Surgery, PC | Neuromusculoskeletal Medicine, Sports Medicine | 105 S. Willow Ave., Cookeville, TN 38501 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144548579 | Prolotherapy Nashville Pllc | Neuromusculoskeletal Medicine, Sports Medicine | 278 Franklin Road, Suite 150, Brentwood, TN 37027 | 2010-05-10 |
| 1366692998 | Leland Jarnigan Lancaster Jr. | Neuromusculoskeletal Medicine, Sports Medicine | 748 Darden Pl, Nashville, TN 37205-2629 | 2008-09-18 |
| 1508899246 | Suneetha S Nuthalapaty | Neuromusculoskeletal Medicine, Sports Medicine | 6290 Manchester Hwy, Morrison, TN 37357-7589 | 2006-07-08 |
| 1750323911 | Thomas J Obrien | Neuromusculoskeletal Medicine, Sports Medicine | 1321 Murfreesboro Rd, Ste. 510, Nashville, TN 37217-2626 | 2006-06-12 |
| 1689644320 | Laurent Legault | Neuromusculoskeletal Medicine, Sports Medicine | 1008 Hanover Ct, Kingsport, TN 37660-5839 | 2006-01-25 |
| 1578791299 | Adam Andres Lewis | Neuromusculoskeletal Medicine, Sports Medicine | 1211 Medical Center Dr, Nashville, TN 37232-0004 | 2009-07-01 |
| 1346342573 | Seven Springs Orthopaedics and Sports Medicine | Neuromusculoskeletal Medicine, Sports Medicine | 317 Seven Springs Way, Ste 101, Brentwood, TN 37027-4576 | 2006-09-01 |
| 1568409118 | Tennessee Spine & Sports Medecine, P.C. | Neuromusculoskeletal Medicine, Sports Medicine | 397 Wallace Rd, Ste 410, Nashville, TN 37211-4854 | 2006-06-01 |
| 1801847025 | John Richard Janovich | Neuromusculoskeletal Medicine, Sports Medicine | 1995 Highway 51 S, Suite 102, Covington, TN 38019-3635 | 2006-05-12 |
| 1346203783 | Richard Donaldson | Neuromusculoskeletal Medicine, Sports Medicine | 2051b Hamill Rd, Suite 210, Hixson, TN 37343-4093 | 2006-04-07 |
| Find all providers with the same taxonomy | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
Please comment or provide details below to improve the information on DR. KENNY WAYNE LYNN.
| 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.