| Kenny W. Lynn, M.d. | |
|
210 N Cedar Ave Cookeville TN 38501-2419 | |
| (931) 528-7418 | |
| (931) 525-6165 |
| Full Name | Kenny W. Lynn, M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 210 N Cedar Ave, Cookeville, Tennessee |
| Authorized Official Name and Position | Kenny W Lynn (PHYSICIAN) |
| Authorized Official Contact | 9315287418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenny W. Lynn, M.d. 210 N Cedar Ave Cookeville TN 38501-2419 Ph: (931) 528-7418 | Kenny W. Lynn, M.d. 210 N Cedar Ave Cookeville TN 38501-2419 Ph: (931) 528-7418 |
| NPI Number | 1043376544 |
|---|---|
| Provider Enumeration Date | 12/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043376544 | NPI | - | NPPES |
| 10796 | Other | TN | MEDICAL LICENSE |
| 3174362 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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