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Organization

KENT MEDICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILEY R KENT (PHYSICIAN ASSISTANT)
(276) 880-0211
Entity
Organization

Contact information

Practice address
912 WEST MAIN STREET, LEBANON, VA 24266
(276) 880-0211
(276) 880-0213
Mailing address
912 WEST MAIN STREET, LEBANON, VA 24266
(276) 880-0211
(276) 880-0213

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
12/29/2023
Last updated
06/05/2024
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