DR. KENNETH E EMBRY III MD - NPI 1245328624 - General Practice in Bartlett, TN

Q: What is Kenneth Embry's NPI number?

The NPI number for Kenneth Embry is 1245328624. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Q: What is Kenneth Embry's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Embry was last updated on May 3, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Kenneth E Embry Iii Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH E EMBRY III MD (NPI 1245328624) is an individual general practice provider in Bartlett, Tennessee, licensed in Tennessee (24112) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245328624

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. KENNETH E EMBRY IIICredential: MD

Location Address3091 KIRBY WHITTEN PKWYBartlett, TN 38134

Mailing Address2859 Van Leer DriveMemphis, TN 38133 · (901) 751-5513 · Fax (901) 751-5540

Phone(901) 752-6963

Fax(901) 759-4704

Sole ProprietorNo

Enumeration DateOctober 10, 2006

Last NPPES UpdateMay 3, 2013

✔ NPI 1245328624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Licenses✔ Licensed in TN · 24112✔ Licensed in KY · 17296

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineTaxonomy 2083P0500X · License 17296 (KY)

3091 KIRBY WHITTEN PKWY, Bartlett, TN 38134

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Other Identifiers 2

Medicare UPINC68429KY

Medicare UPINC68429

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth E Embry Iii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELE E NEAL MD

Family Medicine