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

Kennedy Shull

Individual provider Physician Assistant · NPI 1154184497

Kennedy Shull is a Physician Assistant in Knoxville, Tennessee. Graduated from Medical University of South Carolina College of Medicine in 2024, 2 years ago. Practices with Interstate Health Systems Inc, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
2
Trained at
Medical University of South Carolina College of Medicine
Licensed in
TN
In the registry since
2024
Specialties on file
4
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Practice location Address checks out

7200 Strawberry Plains Pike
Knoxville, TN 37914-9589
Phone: (865) 240-3038
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 6197 (TN)
Physician Assistant Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 6197 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1154184497
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 31, 2024
Last updated in NPPESDecember 26, 2024
Certification dateDecember 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Interstate Health Systems Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Knoxville