1. Home
  2. Directory
  3. Tennessee
  4. Cookeville
  5. Family Medicine
  6. NPI Profile

KENNY W. LYNN, M.D.
NPI 1043376544
Family Medicine in Cookeville, TN

Active since December 29, 2006CLIA 44D0316085 · Waiver
210 N CEDAR AVE, COOKEVILLE, TN 38501(931) 528-7418(931) 525-6165 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenny W. Lynn, M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNY W. LYNN, M.D. (NPI 1043376544) is a healthcare organization registered as a family medicine in Cookeville, Tennessee and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Kenny W Lynn, Physician, as its authorized official.

NPPES Registry Identity

NPI1043376544
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKENNY W. LYNN, M.D.
Location Address210 N CEDAR AVECookeville, TN 38501-2419
Mailing Address210 N Cedar AveCookeville, TN 38501-2419 · (931) 528-7418 · Fax (931) 525-6165
Phone(931) 528-7418
Fax(931) 525-6165
Organization SubpartNo
Authorized OfficialKenny W LynnPhysician · (931) 528-7418
Enumeration DateDecember 29, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1043376544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
210 N CEDAR AVE, Cookeville, TN 38501
Open in Google Maps ↗

Other Identifiers 2

Medicaid3174362TN
Other10796TN · Medical License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D0316085

Kenny W Lynn MD · Cookeville, TN
Active · expires Aug 31, 2026
CLIA Number44D0316085
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKenny W. Lynn
Laboratory Phone(615) 528-4718
Laboratory LocationKenny W Lynn MD210 N Cedar, Cookeville, TN 38501
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBYN LYNN WILLIS L.P.C.
Counselor (Mental Health)
210 N CEDAR AVE
COOKEVILLE, TN 38501
Putnam County (931) 265-4470

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenny W. Lynn, M.D.'s NPI number?

The NPI number for Kenny W. Lynn, M.D. is 1043376544. It was assigned to this organization in the NPPES registry on December 29, 2006.

Where is Kenny W. Lynn, M.D. located?

Kenny W. Lynn, M.D. is located at 210 N Cedar Ave, Cookeville, TN 38501. The listed phone number is (931) 528-7418.

What is Kenny W. Lynn, M.D.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Kenny W. Lynn, M.D. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0316085) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kenny W. Lynn, M.D. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.