Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ronald J Kembro, DO

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1407890015

Dr. Ronald J Kembro, DO is a General Surgery in Fort Campbell, Kentucky. Qualified in 2005, 21 years ago. Practices with McLaren Northern Michigan, a 61-clinician group and accepts Medicare assignment. Licensed in Alabama, Nebraska, Tennessee and Virginia.

Years since qualifying
21
Licensed in
AL, NE, TN, VA
In the registry since
2006
Specialties on file
5
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

650 Joel Dr Attn: General Surgery
Fort Campbell, KY 42223-5318
Phone: (270) 956-2134
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence 0102203702 (VA)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence DO.2452 (AL)
Military Health Care Provider Taxonomy 171000000X
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 488 (NE)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 2548 (TN)

Record details

NPI number1407890015
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 15, 2006
Last updated in NPPESApril 25, 2023
Certification dateApril 25, 2023
Mailing address1010 E Mitchell St, Petoskey, MI 49770-2636

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice McLaren Northern Michigan — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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