Organization
JOSEPH KENT CRNA INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH H KENT CRNA (OWNER/PRESIDENT)
(479) 785-2555
Entity
Organization
Contact information
Practice address
2301 S 56TH ST, FORT SMITH, AR 72903-3755
(479) 785-2555
(479) 785-3555
Mailing address
PO BOX 11964, FORT SMITH, AR 72917-1964
(479) 785-2555
(479) 785-3555
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C00348
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200259460A
—
OK
Enumeration date
11/05/2008
Last updated
12/30/2010
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