MEDICARE: DR. KEN D. BERRY 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	207Q00000X	Family Medicine Physician	35476	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	930113436	OTHER	TN	PALMETTO GPA RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4067078	OTHER	TN	BCBS-T PROVIDER #
2	44D-1016448	OTHER	TN	CLIA #
3	7679503	OTHER	TN	AETNA PROVIDER #

General Provider Information

NPI Number	:	1609854629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEN D. BERRY M.D.

Provider Business Mailing Address
First Line	:	30 E MAIN ST
Second Line	:
City	:	CAMDEN
State	:	TN
Zip	:	38320-1734
Country	:	US
Telephone Number	:	731-584-1430
Fax Number	:	731-584-1439

Provider Business Practice Location Address
First Line	:	30 E MAIN ST
Second Line	:
City	:	CAMDEN
State	:	TN
Zip	:	38320-1734
Country	:	US
Telephone Number	:	731-584-1430
Fax Number	:	731-584-1439

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

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	06/04/2008

Similar Medicare Providers

1730328436 — MS. GRACE MARIE SMITH LMT
Practice Location Address:

30 E MAIN ST
CAMDEN, TN
38320-1734

Practice Phone: 731-584-1430
Practice Fax: 731-584-1439

1811497639 — ALEXANDER YOUTH NETWORK
Practice Location Address:

1608 CAMDEN RD , ROOMS #16 & #17
FAYETTEVILLE, NC
28306-1734

Practice Phone: 910-703-8791
Practice Fax:

1073513636 — DR. WILLIAM HALL MCCONNELL OD
Practice Location Address:

194 W. MAIN ST.
CAMDEN, TN
38320

Practice Phone: 731-584-6161
Practice Fax: 731-584-6606

1609868363 — CAMDEN EYE CARE ASSOCIATES
Practice Location Address:

264 HIGHWAY 641 N
CAMDEN, TN
38320-1329

Practice Phone: 731-584-7942
Practice Fax: 731-584-7965

1982696498 — DR. MICHELLE MORRIS HARRISON OD
Practice Location Address:

264 HIGHWAY 641 N
CAMDEN, TN
38320-1329

Practice Phone: 731-584-7942
Practice Fax: 731-584-7965

1841289048 — DR. ROBERT LESLIE HORTON JR. DDS
Practice Location Address:

180 HOSPITAL DR
CAMDEN, TN
38320-1618

Practice Phone: 731-584-4560
Practice Fax: 731-584-8267

Directions to “ DR. KEN D. BERRY 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 © 2007-2026 (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.