Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

HALEY MAI KENNEDY PA
NPI 1134059058
Physician Assistant in Bristol, TN

Active since May 21, 2026
320 STEELES RD, BRISTOL, TN 37620(423) 390-1900(423) 390-1899 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 6, 2026, May 21, 2026 (2 updates tracked since 2026).

About Haley Mai Kennedy Pa NPPES

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

HALEY MAI KENNEDY PA (NPI 1134059058) is an individual physician assistant in Bristol, Tennessee, licensed in Tennessee (7254) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1134059058
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHALEY MAI KENNEDYCredential: PA
Location Address320 STEELES RDBristol, TN 37620-9532
Mailing AddressPo Box 632476Cincinnati, OH 45263-2476
Fax(423) 390-1899
Sole ProprietorYes
Enumeration DateMay 21, 2026
Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
NPI 1134059058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TN · 7254
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

320 STEELES RD, Bristol, TN 37620

Other Names 1

Former Name (1)Haley Mai Tham

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Pediatrics)
320 STEELES RD
BRISTOL, TN 37620
Pediatrics
320 STEELES RD
BRISTOL, TN 37620
Specialist
320 STEELES RD
BRISTOL, TN 37620
Pediatrics
320 STEELES RD
BRISTOL, TN 37620
Internal Medicine
320 STEELES RD
BRISTOL, TN 37620
Family Medicine
320 STEELES RD
BRISTOL, TN 37620
Physician Assistant
320 STEELES RD
BRISTOL, TN 37620
Pediatrics
320 STEELES RD
BRISTOL, TN 37620

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134059058, enumerated as an "individual" on May 21, 2026.

The provider is located at 320 STEELES RD BRISTOL, TN 37620 and the phone number is (423) 390-1900.

Physician Assistant with taxonomy code 363A00000X.