Kennedy Shull Valid NPI

Individual provider · Medical Physician Assistant · Knoxville, TN

NPI

1154184497

Type

Individual (Type 1)

Primary specialty

Medical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AM0700X

License number

6197 (TN)

Sex

Female

Sole proprietor

No

Enumerated

2024-01-31

Last updated

2024-12-26