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

Mr. Kenneth Gene Souder, DPH

Individual provider Pharmacist · NPI 1508848235

Mr. Kenneth Gene Souder, DPH is a Pharmacist in Elizabethton, Tennessee. Licensed in Tennessee. Registered with an NPI since 2005.

Licensed in
TN
In the registry since
2005

Practice location Address checks out

402 Bemberg Rd
Elizabethton, TN 37643-2938
Phone: (423) 543-3493
Fax: (423) 534-5493
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 3344 (TN)

Record details

NPI number1508848235
Entity typeIndividual (Type 1)
GenderMale
Credentials DPH
Sole proprietorNo
NPI enumeratedNovember 17, 2005
Last updated in NPPESJuly 13, 2026

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