Individual
DR. KENNETH I FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 HUMPHREYS CENTER, SUITE 200, MEMPHIS, TN 38120
(901) 578-2538
(901) 578-2572
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
31333
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05453599
—
MS
05
—
148888001
—
AR
01
—
3124943
BLUE CROSS OF TENNESSEE
TN
05
—
3839852
—
TN
Enumeration date
07/12/2006
Last updated
08/27/2019
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