Kennon, Justin C

Kennon, Justin C is an individual health care provider with primary practice located at 9430 Park West Blvd Ste 130 , Knoxville TN 37923-4205. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Kennon, Justin C can be contacted via phone (865) 690-4861.

Contact Information

Primary practice address
9430 Park West Blvd Ste 130 Knoxville TN 37923-4205
Phone: (865) 690-4861
Fax: (865) 560-8525
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 58814 Tennessee
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 58814 Tennessee

Profile Details

NPI number 1104265099
LBN Legal business name Kennon, Justin C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2013
Last updated Oct 13th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104265099 NPPES
Tennessee MEDICAID Q047643

Popular Providers