KENNETH T BEDOCK

COLUMBIA, TN
NPI1780826461
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: TN  649)
Enumeration Date2009-03-27
Last Update Date2009-03-27
Business Address
-- KENNETH T BEDOCK PA
1220 TROTWOOD AVE SUITE 401
COLUMBIA, TN 38401-6433
Phone number: 931-388-6550
Mailing Address
-- KENNETH T BEDOCK PA
854 W JAMES CAMPBELL BLVD SUITE 303A
COLUMBIA, TN 38401-4659
Phone number: 931-540-4255
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