John Kennedy Gresham M.D.

NPI 1619170347 - Internal Medicine - 207RC0000X

NPI Details
NPI 1619170347
Gender Male
Enumeration Date 06/08/2007
Last Updated 04/07/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
19276 STONE OAK PKWY
SUITE 103
SAN ANTONIO TX, 78258-3378, US
Phone (210) 499-0448
Fax (210) 403-9167
Business Location
19276 STONE OAK PKWY
SUITE 103
SAN ANTONIO TX, 78258-3378, US
Phone (210) 499-0448
Fax (210) 403-9167
Toxanomy
Taxonomy Code 207RC0000X
License State Virginia
License Number 0101230320
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According to our database, Dr. John Kennedy Gresham M.D. NPI is 1619170347, taxonomy code is 207RC0000X and license number is 0101230320, license state is located at Virginia. John Kennedy Gresham M.D. physically located at 19276 Stone Oak Pkwy, San Antonio TX, 78258-3378. NPI Number John Kennedy Gresham M.D. has the Individual type.

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1619170347 NPI number is provided on an as is basis without warranty of any kind. 1619170347 is maintained by the National Plan & Provider Enumeration System. The contents of John Kennedy Gresham M.D. are for informational purposes only.