Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kenneth William Pomeroy, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1295470748

Dr. Kenneth William Pomeroy, MD is a Student in an Organized Health Care Education/Training Program in Mountain Home, Tennessee. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Building 52/LAKE Dr
Mountain Home, TN 37684
Phone: (423) 439-8000
Fax: (423) 439-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1295470748
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 29, 2022
Last updated in NPPESApril 29, 2022
Certification dateMarch 30, 2022
Mailing addressBuilding 52/Lake Drive, Mountain Home, TN 37684

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