KENNETH T BEDOCK PA
NPI 1780826461
Physician Assistant - Surgical in Columbia, TN
- Individual
- Male
- Physician Assistant
- Surgical
About KENNETH BEDOCK
This page provides the complete NPI Profile along with additional information for Kenneth Bedock, a provider established in Columbia, Tennessee with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1780826461 assigned on March 2009. The practitioner's primary taxonomy code is 363AS0400X with license number 649 (TN). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1780826461 Verify this NPI
- Provider Name
- KENNETH T BEDOCK PA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1220 TROTWOOD AVE SUITE 401 COLUMBIA, TN 38401
- Location Phone
- (931) 388-6550
- Location Fax
- (931) 388-6459
- Mailing Address
- 854 W JAMES CAMPBELL BLVD SUITE 303A COLUMBIA, TN 38401
- Mailing Phone
- (931) 540-4255
- Mailing Fax
- (931) 490-4654
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-27-2009
- Last Update Date
- 03-27-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 649
- License State
- TN
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
COLUMBIA, TN 38401
COLUMBIA, TN 38401
COLUMBIA, TN 38401
COLUMBIA, TN 38401
COLUMBIA, TN 38401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780826461, enumerated as an "individual" on March 27, 2009.
The provider is located at 1220 TROTWOOD AVE SUITE 401 COLUMBIA, TN 38401 and the phone number is (931) 388-6550.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
