Borders, John (Jack) Kenneth

Borders, John (Jack) Kenneth is an individual health care provider with primary practice located at 2000 Ashland Dr , Ashland KY 41101-7058. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Borders, John (Jack) Kenneth can be contacted via phone (606) 326-0322.

Contact Information

Primary practice address
2000 Ashland Dr Ashland KY 41101-7058
Phone: (606) 326-0322
Fax: (606) 326-9809
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 21774 Kentucky

Profile Details

NPI number 1528078367
LBN Legal business name Borders, John (Jack) Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

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 1528078367 NPPES
Ohio MEDICAID 0413047
Ohio MEDICAID 64764996
Ohio Other 000000050360

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