Provider Demographics
NPI:1194792598
Name:EMKEY, KENNETH D (MD)
Entity type:Individual
Prefix:
First Name:KENNETH
Middle Name:D
Last Name:EMKEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:301 S 7TH AVE
Mailing Address - Street 2:SUITE 215
Mailing Address - City:WEST READING
Mailing Address - State:PA
Mailing Address - Zip Code:19611-1410
Mailing Address - Country:US
Mailing Address - Phone:610-374-4402
Mailing Address - Fax:610-374-7916
Practice Address - Street 1:301 S 7TH AVE
Practice Address - Street 2:SUITE 215
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611-1410
Practice Address - Country:US
Practice Address - Phone:610-374-4402
Practice Address - Fax:610-374-7916
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2010-06-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD0145135207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB34837Medicare UPIN
PA068739ES4Medicare ID - Type Unspecified