person
Dr. Kenneth Jake Sample, MD
Student in an Organized Health Care Education/Training Program in Memphis, Tennessee
NPI 1699358960

Kenneth Jake Sample is a Student in an Organized Health Care Education/Training Program based in Memphis, TN. Kenneth Jake Sample practices in Memphis, TN and has the professional credentials of MD. The NPI Number for Kenneth Jake Sample is 1699358960 and holds a License No. (Tennessee).

The current practice location address for Kenneth Jake Sample is 920 Madison Ave Ste 447, Memphis, TN and can be reached out via phone at 901-448-5814.

Location: 920 Madison Ave Ste 447, Memphis, TN, 38103-2814
person
Provider Profile Details
NPI Number
1699358960
Provider Name
Kenneth Jake Sample
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
920 Madison Ave Ste 447, Memphis, TN, 38103-2814
Phone Number
901-448-5814
Fax Number
Provider Enumeration Date
05/04/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
920 Madison Ave Ste 447
City
State
Zip
38103-3438
Phone Number
901-448-5814
Fax Number
person
Provider Business Mailing Address Details
Address
920 Madison Ave Ste 447
City
State
Zip
38103-3438
Phone Number
901-448-5814
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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