DR. KENNETH E EMBRY MD NPI 1245328624

NPI Information

  • NPI: 1245328624
  • Provider Name: DR. KENNETH E EMBRY, MD
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3091 KIRBY WHITTEN PKWY
    BARTLETT, TN
    ZIP 38134
  • Phone: (901) 752-6963

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NPI Details

DR. Kenneth E Embry, MD is a general practice in Bartlett, TN. The provider is 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 DR. Kenneth E Embry, MD NPI is 1245328624. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3091 KIRBY WHITTEN PKWY
BARTLETT, TN
ZIP 38134
Phone: (901) 752-6963
Fax: (901) 759-4704

The NPI 1245328624 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 5/3/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental Medicine17296KENTUCKYNo
2208D00000XGeneral Practice17296KENTUCKYNo
3208D00000XGeneral Practice24112TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C68429MEDICARE UPINKENTUCKY
2C68429MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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