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Individual
JACK KENNINGTON AYRES
Active
Individual
JACK KENNINGTON AYRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0101266126
VA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
0101266126
VA
Other
Enumeration date
04/28/2017
Last updated
09/21/2026
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