Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH T BEDOCK, PA
ActiveKENNETH T BEDOCK, PA is a Surgical Physician Assistant healthcare provider located in COLUMBIA, Tennessee. NPI 1780826461 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · COLUMBIA, TN
Registration Details
- NPI Number
- 1780826461
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2009 (17.347200018451 yrs)
- Last Updated
- Mar 27, 2009
- License
-
649 (TN)
Practice Information
- Address
-
1220 TROTWOOD AVESUITE 401COLUMBIA, TN, 384016433Browse TN providers · Browse ZIP 38401
- Phone
- 9313886550
- Fax
- 9313886459
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in COLUMBIA, TN
| Name | Credential | NPI |
|---|---|---|
| MELANIE M DURHAM | PA-C | 1578544110 |
| MAHGEN L. KRUSE | PA-C | 1649586041 |
| ELYSE C ADAMS | P.A.-C | 1376965129 |
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.