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Individual

DR. KENNETH E EMBRY III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3091 KIRBY WHITTEN PKWY, BARTLETT, TN 38134
(901) 752-6963
(901) 759-4704
Mailing address
2859 VAN LEER DRIVE, MEMPHIS, TN 38133
(901) 751-5513
(901) 751-5540

Taxonomy

Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
17296
KY
208D00000X
General Practice Physician
17296
KY
208D00000X
General Practice Physician
Primary
24112
TN

Other

Enumeration date
10/10/2006
Last updated
05/03/2013
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