Individual provider · Type 1 NPI

Kenneth T. Bedock, PA

Surgical Physician Assistant · Columbia, TN

NPI number 1780826461 Active

Practice location

1220 Trotwood Ave, Suite 401
Columbia, TN 38401-6433

Call (931) 388-6550 Map

Fax (931) 388-6459

Mailing address

854 W James Campbell Blvd, Suite 303A
Columbia, TN 38401-4659

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X649 (TN)

Surgical Physician Assistant: Definition to come...

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About NPI 1780826461

Kenneth T. Bedock, PA's National Provider Identifier is 1780826461, issued on Mar 27, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Columbia, TN. The record was last updated on Mar 27, 2009.