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

Kenneth T Bedock, PA

Individual provider Surgical Physician Assistant · NPI 1780826461

Kenneth T Bedock, PA is a Surgical Physician Assistant in Columbia, Tennessee. Licensed in Tennessee. Registered with an NPI since 2009.

Licensed in
TN
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1220 Trotwood Ave Ste 401
Columbia, TN 38401-6433
Phone: (931) 388-6550
Fax: (931) 388-6459
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 649 (TN)

Record details

NPI number1780826461
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 27, 2009
Last updated in NPPESMarch 27, 2009
Mailing address854 W James Campbell Blvd, Suite 303a, Columbia, TN 38401-4659

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