Individual
DR. GEORGE MICHAEL KENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2910 SHED RD, BOSSIER CITY, LA 71111-3154
(318) 742-5124
(318) 746-6080
Mailing address
173 CAPT. H. M. SHREVE BOULEVARD, SHREVEPORT, LA 71115-2961
(318) 795-9494
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
11482
LA
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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