Ken Homolya, MD, LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

KEN HOMOLYA, MD, LLC

Practice address

406 N Whitney Ave Ste 2
Cookeville, TN 38501-4243

Phone

(931) 372-1799

Fax

(931) 372-1866

NPI assigned

Jan 28, 2016

Organization subpart

No

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

Authorized official

Name

Kenneth M. Homolya, MD

Title

Owner

Phone

(931) 372-1799

Specialties & licenses 2

Addresses

Other names 1

• Integrity Pain Consultants Doing business as

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505865600000",
    "number": "1770940249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 HAZEL PATH STE 7",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753893",
            "telephone_number": "615-431-5484",
            "fax_number": "615-447-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N WHITNEY AVE STE 2",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014243",
            "telephone_number": "931-372-1799",
            "fax_number": "931-372-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN HOMOLYA, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2017-09-20",
        "status": "A",
        "authorized_official_last_name": "HOMOLYA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-372-1799",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrity Pain Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Patrick Kelly III, FNP-BC
• Jennifer Kelly, LCSW
• Regina Leigh Kelly, RN
• Maryhelen M Kemp, RN
• Myrna K Kemp, L.P.C.
• Brooke Kennedy, M.A.
• Irina Kim Kennedy, NP
• Krystal Kennedy, BCBA-D, LBA
• Kenneth W Wood MD LLC
• Kenny W. Lynn, M.D.

• Pain Medicine (Anesthesiology) Physician in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Pain Medicine (Anesthesiology) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; 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.