Individual provider · Type 1 NPI

Haley Mai Kennedy, PA

Physician Assistant · Bristol, TN

NPI number 1134059058 Active

Practice location

320 Steeles Rd
Bristol, TN 37620-9532

Call (423) 390-1900 Map

Fax (423) 390-1899

Mailing address

PO Box 632476
Cincinnati, OH 45263-2476

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X7254 (TN)

Physician Assistant: 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, orde…

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About NPI 1134059058

Haley Mai Kennedy, PA's National Provider Identifier is 1134059058, issued on May 21, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bristol, TN. The record was last updated on Jul 6, 2026.