Kenneth Nicley, PA

NPI 1306252598 · on the registry since 2014

Practice

Address: 149 Durham Dr
Maynardville, TN 37807
Phone: (865) 992-2221
Fax: (865) 992-2251
Organisation at this address: Caring Medical Center Pc
Summit Medical Group, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: TN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-01-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee