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

Kenneth Ian Packer

Individual provider Certified Registered Nurse Anesthetist · NPI 1437779592

Kenneth Ian Packer is a Certified Registered Nurse Anesthetist (CRNA) in Memphis, Tennessee. Qualified in 2020, 6 years ago. Practices with Chs Anesthesia Services Group Inc, a 737-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon and Tennessee.

Years since qualifying
6
Licensed in
OR, TN
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

877 Jefferson Ave
Memphis, TN 38103-2807
Phone: (901) 545-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 — (503) 494-7641

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 27755 (TN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 10008152APRN-CRNA (OR)

Record details

NPI number1437779592
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 19, 2020
Last updated in NPPESJuly 6, 2023
Certification dateJuly 6, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Chs Anesthesia Services Group Inc — 737 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Memphis