Individual provider · Type 1 NPI

Kenneth William Pomeroy, MD

Student in an Organized Health Care Education/Training Program · Mountain Home, TN

NPI number 1295470748 Active

Practice location

Building 52/LAKE Drive
Mountain Home, TN 37684

Call (423) 439-8000 Map

Fax (423) 439-2200

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1295470748

Kenneth William Pomeroy, MD's National Provider Identifier is 1295470748, issued on Apr 29, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mountain Home, TN. The record was last updated on Apr 29, 2022.