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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENNETH MICHAEL HOMOLYA JR., M.D.

Active Sole Proprietor

KENNETH MICHAEL HOMOLYA JR., M.D. is a Pain Medicine (Anesthesiology) healthcare provider located in BRENTWOOD, Tennessee. NPI 1548302789 is currently active in the NPPES registry. Verify at CMS.

Pain Medicine (Anesthesiology) · BRENTWOOD, TN

Registration Details

NPI Number
1548302789
Provider Type
Individual
Gender
Male
NPI Issued
Feb 13, 2007 (19.535750610644 yrs)
Last Updated
Oct 19, 2020
License
45952 (TN)
Sole Proprietor
Yes

Practice Information

Address
330 FRANKLIN RD
SUITE 135A #295
BRENTWOOD, TN, 370273280
Browse TN providers · Browse ZIP 37027
Phone
6154315484
Fax
6154475959
Primary Specialty
Pain Medicine (Anesthesiology)
207LP2900X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.