Mair, Kenneth Aaron

Mair, Kenneth Aaron is an individual health care provider with primary practice located at 2000 Cooper St Ste 560 , Fort Worth TX 76104-2528. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Mair, Kenneth Aaron can be contacted via phone (817) 820-2890.

Contact Information

Primary practice address
2000 Cooper St Ste 560 Fort Worth TX 76104-2528
Phone: (817) 820-2890
Fax: (817) 810-0725
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X J1541 Texas

Profile Details

NPI number 1588696678
LBN Legal business name Mair, Kenneth Aaron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Feb 7th, 2020 - about 5 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 1588696678 NPPES
Texas MEDICAID 101561202
Texas MEDICAID 080636601
Texas Other 0045BY
Texas Other 88820F

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