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NPI Code Detail

MEDICARE: KENNEDY GRACE AYRE MD

MEDICARE: KENNEDY GRACE AYRE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician94-12872KS

General Provider Information

NPI Number : 1326973066
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNEDY GRACE AYRE MD
Provider Business Mailing Address
First Line : 1010 N KANSAS ST
Second Line :
City : WICHITA
State : KS
Zip : 67214-3124
Country : US
Telephone Number : 316-293-2665
Fax Number :
Provider Business Practice Location Address
First Line : 1010 N KANSAS ST
Second Line :
City : WICHITA
State : KS
Zip : 67214-3124
Country : US
Telephone Number : 316-293-2665
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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Directions to “ KENNEDY GRACE AYRE MD” Practice Location

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