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Organization

RICHARD D. KENT, D.P.M., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD DAVID KENT D.P.M. (OWNER)
(540) 459-3663
Entity
Organization

Contact information

Practice address
118 S MAIN ST, WOODSTOCK, VA 22664-1489
(540) 459-3663
(540) 459-2206
Mailing address
118 S MAIN ST, WOODSTOCK, VA 22664-1489
(540) 459-3663
(540) 459-2206

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103001004
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9302743
VA
Enumeration date
05/07/2007
Last updated
02/20/2008
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