Ken Embry M.d. | |
1733 Campus Plaza Ct Ste 5 Bowling Green KY 42101-2996 | |
(270) 843-6391 | |
(270) 782-6766 |
Full Name | Ken Embry M.d. |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 1733 Campus Plaza Ct Ste 5, Bowling Green, Kentucky |
Authorized Official Name and Position | Ken Embry (OWNER) |
Authorized Official Contact | 2708436391 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ken Embry M.d. 1733 Campus Plaza Ct Ste 5 Bowling Green KY 42101-2996 Ph: (270) 843-6391 | Ken Embry M.d. 1733 Campus Plaza Ct Ste 5 Bowling Green KY 42101-2996 Ph: (270) 843-6391 |
NPI Number | 1669626701 |
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Provider Enumeration Date | 11/14/2008 |
Last Update Date | 11/14/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669626701 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 17296 (Kentucky) | Primary |
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