Ayres, Jack Kennington

Ayres, Jack Kennington is an individual health care provider with primary practice located at 18511 Highlander Medics St , Fort Bliss TX 79906-5327. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Ayres, Jack Kennington can be contacted via phone (915) 742-7777.

Contact Information

Primary practice address
18511 Highlander Medics St Fort Bliss TX 79906-5327
Phone: (915) 742-7777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 0101266126 Virginia
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 0101266126 Virginia

Profile Details

NPI number 1679008510
LBN Legal business name Ayres, Jack Kennington
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2017
Last updated Sep 21st, 2026 - about last month

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679008510 NPPES
Virginia MEDICAID 0101266126

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