Kenneth A Ennis is a Psychiatry in Memphis, Tennessee. Kenneth A Ennis practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Kenneth A Ennis is 1356308977. The last update date is 2007-07-08.
Kenneth A Ennis's current location address is 66 N Pauline St, Memphis, Tennessee. You can contact this provider via phone number 9014487642 and fax number 9014488015. The mailing address for Kenneth A Ennis is 66 N Pauline St, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth A Ennis |
|---|---|
| Address | 66 N Pauline St, Memphis, Tennessee |
| Phone Number | 9014487642 |
| Fax Number | 9014488015 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1356308977 |
|---|---|
| Provider Enumeration Date | 2006-04-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 66 N Pauline St |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381055105 |
| Phone Number | 9014487642 |
| Fax Number | 9014488015 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 10527 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3024469 | TN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kenneth A Ennis?
The Kenneth A Ennis has been issued the NPI (National Provider Identifier) 1356308977 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Kenneth A Ennis's physical address?
The Kenneth A Ennis is physically located at 66 N Pauline St, in the city of Memphis, TN, with the postal code 381055105.
What is Kenneth A Ennis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kenneth A Ennis is Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0800X.
When did the Kenneth A Ennis receive its 1356308977?
The Kenneth A Ennis was issued its 1356308977 on 2006-04-27, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Kenneth A Ennis last refreshed?
The information related to the Kenneth A Ennis, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1982607784
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