Organization
KEN EMBRY M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN EMBRY M.D. (OWNER)
(270) 843-6391
Entity
Organization
Contact information
Practice address
1733 CAMPUS PLAZA CT STE 5, BOWLING GREEN, KY 42101-2996
(270) 843-6391
(270) 782-6766
Mailing address
1733 CAMPUS PLAZA CT STE 5, BOWLING GREEN, KY 42101-2996
(270) 843-6391
(270) 782-6766
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
17296
KY
Other
Enumeration date
11/14/2008
Last updated
11/14/2008
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