| Mr Kenneth Roy Henry, PA-C | |
|
3939 Central Pike, Hermitage, TN 37076-3499 | |
| (615) 883-2331 | |
| Not Available |
| Full Name | Mr Kenneth Roy Henry |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 3939 Central Pike, Hermitage, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295748408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 749 (Tennessee) | Primary |
| Entity Name | Fast Pace Medical Clinic PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenneth Roy Henry, PA-C 115 New Halltown Rd, Hartsville, TN 37074-1929 Ph: (615) 374-0006 | Mr Kenneth Roy Henry, PA-C 3939 Central Pike, Hermitage, TN 37076-3499 Ph: (615) 883-2331 |
Morgan Danae Sorrels, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3786 Central Pike Ste 110, Hermitage, TN 37076 Phone: 615-964-5941 |
Hannah Hertel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5651 Frist Blvd Ste 200, Hermitage, TN 37076 Phone: 615-885-0200 Fax: 615-885-0267 |
Mrs. Angela Lyn Collins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5651 Frist Blvd, Suite 712, Hermitage, TN 37076 Phone: 615-872-9966 Fax: 615-872-9967 |
Bailey Sloan Presley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5651 Frist Blvd Ste 603, Hermitage, TN 37076 Phone: 615-889-1968 Fax: 615-889-5527 |
Shelby M Godwin, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 5653 Frist Blvd Ste 738, Hermitage, TN 37076 Phone: 615-320-0007 Fax: 615-383-6329 |
Laura Kristin Conrey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5653 Frist Blvd Ste 236, Hermitage, TN 37076 Phone: 615-232-8812 Fax: 615-232-8815 |
Amanda Sher Fallos, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3939 Central Pike, Hermitage, TN 37076 Phone: 615-883-2331 Fax: 615-391-1785 |