Individual provider · Type 1 NPI

Kennedy Shull

Medical Physician Assistant · Knoxville, TN

NPI number 1154184497 Active

Practice location

7200 Strawberry Plains Pike
Knoxville, TN 37914-9589

Call (865) 240-3038 Map

Mailing address

506 E Oak Hill Ave
Knoxville, TN 37917-5434

Other practice locations

  • 506 E Oak Hill Ave, Knoxville, TN 37917-5434 · (843) 687-9687

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant 363A00000X6197 (TN)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700X6197 (TN)

Medical Physician Assistant: Definition to come...

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About NPI 1154184497

Kennedy Shull's National Provider Identifier is 1154184497, issued on Jan 31, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Knoxville, TN. The record was last updated on Dec 26, 2024.