Mr. Kenneth Nicley, PA
Mr. Kenneth Nicley, PA is a Physician Assistant in Maynardville, Tennessee. Graduated from Lincoln Memorial University Medical Department in 2013, 13 years ago. Practices with Summit Medical Group, PLLC, a 636-clinician group and accepts Medicare assignment. Licensed in Tennessee.
- Years since qualifying
- 13
- Trained at
- Lincoln Memorial University Medical Department
- Licensed in
- TN
- In the registry since
- 2014
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
149 Durham DrMaynardville, TN 37807-2925
Phone: (865) 992-2221
Fax: (865) 992-2251
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 2416 (TN) |
|---|
Record details
| NPI number | 1306252598 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | July 8, 2014 |
| Last updated in NPPES | January 21, 2015 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT |
| Graduated | 2013 (13 years in practice) |
| Group practice | Summit Medical Group, Pllc — 636 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
Other providers in Maynardville
-
Holly Apodaca, PA-C
598 John Deere Dr, Maynardville, TN 37807-3212 · (865) 992-6060
-
Gibson Deane Calfee, PA-C
149 Durham Dr, Maynardville, TN 37807-2925 · (865) 992-2221
-
Union Family Medicine
598 John Deere Dr, Maynardville, TN 37807-3212 · (865) 992-6060