Provider Demographics
NPI:1487604823
Name:KENSINGTON, LINDA MORGAN (MD)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:MORGAN
Last Name:KENSINGTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:MORGAN
Other - Last Name:MOOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5055 MARYLAND WAY
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027
Mailing Address - Country:US
Mailing Address - Phone:615-771-8832
Mailing Address - Fax:615-771-7472
Practice Address - Street 1:5055 MARYLAND WAY
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027
Practice Address - Country:US
Practice Address - Phone:615-771-8832
Practice Address - Fax:615-771-7472
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN34600207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3858622Medicaid
G26153Medicare UPIN
TN3858622Medicaid