Individual
DR. DAVE K JAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
201 FLOYD ST, KENNETT, MO 63857-2450
(573) 888-4226
(573) 888-4221
Mailing address
201 FLOYD ST, KENNETT, MO 63857-2450
(573) 888-4226
(573) 888-4221
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E-0373
AR
207R00000X
Internal Medicine Physician
Primary
R1K93
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242974426
—
MO
Enumeration date
08/25/2006
Last updated
04/28/2021
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