Berry, Ken D.

Berry, Ken D. is an sole proprietor health care provider with primary practice located at 30 E Main St , Camden TN 38320-1734. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Berry, Ken D. can be contacted via phone (731) 584-1430.

Contact Information

Primary practice address
30 E Main St Camden TN 38320-1734
Phone: (731) 584-1430
Fax: (731) 584-1439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35476 Tennessee

Profile Details

NPI number 1609854629
LBN Legal business name Berry, Ken D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2006
Last updated Jun 4th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609854629 NPPES
Tennessee Other 4067078 BCBS-T PROVIDER #
Tennessee Other 44D-1016448 BCBS-T PROVIDER #
Tennessee Other 7679503 BCBS-T PROVIDER #
Tennessee Other 930113436 BCBS-T PROVIDER #

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