MD Jack Kennington Ayres, NPI 1679008510
General Practice Physician in Daegu, GYIONGSANGNAM, KR

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1679008510
NPI Entity Type Individual
Provider Name MD Jack Kennington Ayres
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 549 Hc/baach, Unit 15245, Daegu, GYIONGSANGNAM, KR
Provider Mailing Address 3551 Roger Brooke Dr, Fort Sam Houston, TX, US, 782344504
Gender Male
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

208D00000X

Taxonomy Name General Practice Physician
Classification

General Practice

Group

Allopathic & Osteopathic Physicians

License No. 0101266126
License State VA
Description Definition to come...

Business Address

MD Jack Kennington Ayres
549 Hc/baach
Unit 15245

Daegu, GYIONGSANGNAM, KR

Phone: 315-764-5595

Mailing Address

MD Jack Kennington Ayres
3551 Roger Brooke Dr
Fort Sam Houston, TX, US
ZIP 782344504

Other Providers in GYIONGSANGNAM, KR

NPI Name Taxonomy Address

1679008510

MD Jack Kennington Ayres

Individual

General Practice Physician

549 Hc/baach

Unit 15245

Daegu, GYIONGSANGNAM

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