Individual
MR. KENNETH A JANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
190 GROTON ROAD, SUITE 210, AYER, MA 01432
(978) 772-6265
(978) 772-5348
Mailing address
190 GROTON ROAD, SUITE 210, AYER, MA 01432
(978) 772-6265
(978) 772-5348
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
31891
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2031132
—
MA
01
—
708834
TUFTS
—
01
—
801509
HARVARD PILGRIM
—
01
—
B1817001
PTAN
MA
01
—
B1817002
PTAN 41
MA
Enumeration date
05/05/2006
Last updated
02/25/2009
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