Provider Demographics
NPI:1659167153
Name:AYRES, KEVIN TYRONE (RN)
Entity type:Individual
Prefix:MR
First Name:KEVIN TYRONE
Middle Name:
Last Name:AYRES
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 N CALHOUN ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21217-2528
Mailing Address - Country:US
Mailing Address - Phone:410-499-8605
Mailing Address - Fax:
Practice Address - Street 1:1010 N CALHOUN ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21217-2528
Practice Address - Country:US
Practice Address - Phone:410-499-8605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-19
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR244971163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse