Ken Embry M.D.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

17296 Issued in KY

Legal business name

KEN EMBRY M.D.

Practice address

1733 Campus Plaza CT Ste 5
Bowling Green, KY 42101-2996

Phone

(270) 843-6391

Fax

(270) 782-6766

NPI assigned

Nov 14, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ken Embry, M.D.

Title

Owner

Phone

(270) 843-6391

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth E Embry III, MD

  • General Practice Physician
  • Bartlett, TN
  • NPI 1245328624
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1669626701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 CAMPUS PLAZA CT STE 5",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012996",
            "telephone_number": "270-843-6391",
            "fax_number": "270-782-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 CAMPUS PLAZA CT STE 5",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012996",
            "telephone_number": "270-843-6391",
            "fax_number": "270-782-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN EMBRY M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "EMBRY",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-843-6391",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "KY",
            "license": "17296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Daniel Kelsey, M.D.
• Jeannie Kelton, MS
• William C. Kemp, M.D.
• McKenzie Kempf
• Shelby K Kempf
• Meredith A Kendell-Dunlow, R.N.
• Mackenzie Kennedy
• Mary M Kennedy, LCSW
• Michael Wesley Kennedy, PT, MS
• Kentuckiana Foot & Ankle PLLC

• Primary Care Clinic/Center in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Primary Care Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.