Tracy D Kennemore (NPI# 1972526515, PAC ID# 6800816042) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1972526515 |
| PAC ID by PECOS | 6800816042 |
| Professional Enrollment ID | I20051202000399 |
| Full Name | Tracy D Kennemore |
| Organization Legal Name | SOUTHERN REHAB AND AQUATICS |
| Address |
400 Dixie Lee Ctr Rd A Kimball TN 37347-5670 |
| Phone Number | 4238377536 |
| Gender | M |
| Credential | PT |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 7810917051 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 400 Dixie Lee Ctr Rd A, Kimball, TN 37347-5670 | 4238377536 | SOUTHERN REHAB AND AQUATICS |
| Organization Legal Name | SOUTHERN REHAB AND AQUATICS |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kacie M Hayes | Physical Therapy | Southern Rehab and Aquatics | 400 Dixie Lee Ctr Rd A, Kimball, TN 37347-5670 |
| Rachel Carter | Physical Therapy | Southern Rehab and Aquatics | 400 Dixie Lee Ctr Rd A, Kimball, TN 37347-5670 |
| Anne K Blevins | Physical Therapy | Southern Rehab and Aquatics | 400 Dixie Lee Ctr Rd A, Kimball, TN 37347-5670 |
| Street Address |
400 DIXIE LEE CTR RD A |
| City | KIMBALL |
| State | TN |
| Zip | 37347-5670 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kacie M Hayes | Physical Therapy | Southern Rehab and Aquatics | 400 Dixie Lee Ctr Rd A, Kimball, TN 37347-5670 |
| Rachel Carter | Physical Therapy | Southern Rehab and Aquatics | 400 Dixie Lee Ctr Rd A, Kimball, TN 37347-5670 |
| Anne K Blevins | Physical Therapy | Southern Rehab and Aquatics | 400 Dixie Lee Ctr Rd A, Kimball, TN 37347-5670 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory Lee Gannon | Nurse Practitioner | Volunteer Behavioral Health Care System | 215 Hickman Rd, Jasper, TN 37347 |
| Glenna W Lashley | Nurse Practitioner | 503 Westfield Place, Jasper, TN 37347-0400 | |
| Michael T Czarnecki | Pulmonary Disease | 3697 Main St, Jasper, TN 37347-0417 | |
| Benjamin Waldorf | Urology | Independent Physical Therapy LLC | 4150 Main St, Suite 101, Jasper, TN 37347-3446 |
| Joseph N Sledge Iii | Cardiovascular Disease (cardiology) | 12 Courthouse Sq, Jasper, TN 37347-3530 | |
| William Allen | Optometry | 4597 Main St, Jasper, TN 37347-3540 | |
| Charles A Crump | Internal Medicine | Chattanooga Diagnostic Associates LLC | 1000 Hwy 28, Jasper, TN 37347-3638 |
| Harsha N Shanthaveerappa | Pulmonary Disease | Chattanooga Diagnostic Associates LLC | 1000 Hwy 28, Jasper, TN 37347-3638 |
| David S Attaway | Emergency Medicine | Heron Emergency Physicians Pllc | 1000 Hwy 28, Jasper, TN 37347-3638 |
| Brittany B Bossert | Nurse Practitioner | Chattanooga Diagnostic Associates LLC | 1000 Hwy 28, Jasper, TN 37347-3638 |
| Find all physicians in zip 37347 | |||
| City | KIMBALL |
| Zip Code | 37347 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | KIMBALL + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Tracy D Kennemore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.