Kenny W. Lynn, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KENNY W. LYNN, M.D.

Practice address

210 N Cedar Ave
Cookeville, TN 38501-2419

Phone

(931) 528-7418

Fax

(931) 525-6165

NPI assigned

Dec 29, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenny W Lynn, M.D.NPI 1336102912

Title

Physician

Phone

(931) 528-7418

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenny Wayne Lynn, M.D.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Cookeville, TN
  • NPI 1336102912
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043376544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N CEDAR AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012419",
            "telephone_number": "931-528-7418",
            "fax_number": "931-525-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N CEDAR AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012419",
            "telephone_number": "931-528-7418",
            "fax_number": "931-525-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNY W. LYNN, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "KENNY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "931-528-7418",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "10796",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3174362",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ken Homolya, MD, LLC
• Brooke Kennedy, M.A.
• Irina Kim Kennedy, NP
• Krystal Kennedy, BCBA-D, LBA
• Kenneth W Wood MD LLC
• Frances M Kernea
• David Matthew Key
• Kidney Care Clinic PLLC
• Phyllis Tucker Kilgore
• Jerell Killian

• Family Medicine Physician in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.