MEDICARE: KWAMBA EKWA NKEMBE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	0101252583	VA

General Provider Information

NPI Number	:	1588806244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KWAMBA EKWA NKEMBE M.D.

Provider Business Mailing Address
First Line	:	324 T B STANLEY HWY
Second Line	:
City	:	BASSETT
State	:	VA
Zip	:	24055-6108
Country	:	US
Telephone Number	:	276-629-1076
Fax Number	:	276-629-2695

Provider Business Practice Location Address
First Line	:	324 T B STANLEY HWY
Second Line	:
City	:	BASSETT
State	:	VA
Zip	:	24055-6108
Country	:	US
Telephone Number	:	276-629-1076
Fax Number	:	276-629-2695

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2009
Last Update Date	:	10/27/2022

Similar Medicare Providers

1649258237 — ELIZABETH W FRITH NP
Practice Location Address:

324 T B STANLEY HWY , SUITE B AND C
BASSETT, VA
24055-6108

Practice Phone: 276-638-2523
Practice Fax: 276-638-2669

1154379451 — MRS. RHONDA K CLARK NP
Practice Location Address:

324 T B STANLEY HWY
BASSETT, VA
24055-6108

Practice Phone: 276-629-1076
Practice Fax:

1508928821 — SHARON L KING M.D.
Practice Location Address:

324 T B STANLEY HWY
BASSETT, VA
24055-6108

Practice Phone: 276-629-1076
Practice Fax:

1174734255 — DR. JOHN ALBERT HAGY SR. M.D.
Practice Location Address:

324 T B STANLEY HWY , SUITES B & C
BASSETT, VA
24055-6108

Practice Phone: 276-629-1076
Practice Fax: 276-629-2695

1063608081 — MARTINSVILLE HENRY COUNTY COALITION FOR HEALTH AND WELLNESS
Practice Location Address:

324 T B STANLEY HWY , STE B AND C
BASSETT, VA
24055-6108

Practice Phone: 276-638-0787
Practice Fax: 276-629-2695

1639310378 — MR. JOSEPH DANIEL BRYANT COTA
Practice Location Address:

324 T B STANLEY HWY , SUITE F
BASSETT, VA
24055-6108

Practice Phone: 276-627-8660
Practice Fax: 276-627-8661

Directions to “ KWAMBA EKWA NKEMBE M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.