Nicley, Kenneth

Nicley, Kenneth is an individual health care provider with primary practice located at 149 Durham Dr , Maynardville TN 37807-2925. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Nicley, Kenneth can be contacted via phone (865) 992-2221.

Contact Information

Primary practice address
149 Durham Dr Maynardville TN 37807-2925
Phone: (865) 992-2221
Fax: (865) 992-2251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2416 Tennessee

Profile Details

NPI number 1306252598
LBN Legal business name Nicley, Kenneth
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2014
Last updated Jan 21st, 2015 - about 10 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.

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