Ryan Kindred Cork, is a
Case Manager/care Coordinator based in Jacksonville, Florida. Ryan Kindred Cork is licensed to practice in Florida (license number ) and his current practice location is
5776 Saint Augustine Rd, Jacksonville, Florida. He can be reached at his office (for appointments etc.) via phone at
(904) 801-9560.
NPI number for Ryan Kindred Cork is 1730796673 and his current mailing address is 5776 Saint Augustine Rd, Jacksonville, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730796673.
Healthcare Provider's Profile
| Full Name | Ryan Kindred Cork |
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| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
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| Location | 5776 Saint Augustine Rd, Jacksonville, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1730796673
- Provider Enumeration Date: 09/24/2020
- Last Update Date: 03/24/2025
Medical Identifiers
Medical identifiers for Ryan Kindred Cork such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730796673 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Alaska) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ryan Kindred Cork is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ryan Kindred Cork,
5776 Saint Augustine Rd,
Jacksonville, FL 32207-8046
Ph: (904) 801-9560 | Ryan Kindred Cork,
5776 Saint Augustine Rd,
Jacksonville, FL 32207-8046
Ph: (904) 801-9560 |
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