Individual provider · Type 1 NPI

Justin C. Kennon, MD

Adult Reconstructive Orthopaedic Surgery Physician · Knoxville, TN

NPI number 1104265099 Active

Practice location

9430 Park West Blvd Ste 130
Knoxville, TN 37923-4205

Call (865) 690-4861 Map

Fax (865) 560-8525

Mailing address

PO Box 160909
Altamonte Springs, FL 32716-0909

Other practice locations

  • 6484 Kingston Pike, Knoxville, TN 37919-4863 · (865) 690-4861
  • 988 Oak Ridge Tpke Ste 100, Oak Ridge, TN 37830-6919 · (865) 483-8478

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician 207X00000X58814 (TN)
Adult Reconstructive Orthopaedic Surgery Physician Primary 207XS0114X58814 (TN)

Adult Reconstructive Orthopaedic Surgery Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

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About NPI 1104265099

Justin C. Kennon, MD's National Provider Identifier is 1104265099, issued on Jun 24, 2013. The primary taxonomy on file is Adult Reconstructive Orthopaedic Surgery Physician (207XS0114X), and the practice location is in Knoxville, TN. The record was last updated on Oct 26, 2026.