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KENNETH NICLEY, PA
PA
Physician Assistant
NPI: 1306252598IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
2416(TN)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Class of 2013
Contact & Hours
- Address
- 149 DURHAM DR
MAYNARDVILLE, TN 37807 - Phone
- (865) 992-2221
Quick Facts
- NPI
- 1306252598
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 13
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