Individual provider · Type 1 NPI

Benjamin Kye Jack, DO

Student in an Organized Health Care Education/Training Program · Richmond, VA

NPI number 1497698468 Active

Practice location

1200 E Marshall St
Richmond, VA 23298-5023

Call (804) 827-0561 Map

Mailing address

PO Box 980257
Richmond, VA 23298-0257

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1497698468

Benjamin Kye Jack, DO's National Provider Identifier is 1497698468, issued on Apr 13, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Richmond, VA. The record was last updated on Apr 13, 2026.