Individual
DR. KENNETH JAMES GAINES
Active
Individual
DR. KENNETH JAMES GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
06150R
LA
2084N0400X
Neurology Physician
29562
SC
2084N0400X
Neurology Physician
7923
MS
2084N0400X
Neurology Physician
Primary
9634
TN
2084N0400X
Neurology Physician
MD.06150R
LA
2084V0102X
Vascular Neurology Physician
9634
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00633223
—
MS
05
—
1320463
—
LA
Enumeration date
11/07/2006
Last updated
06/23/2025
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