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Individual

KENNETH CRAIG KENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-2849
(434) 243-1000
(434) 244-7551
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
0101269397
VA
2086S0129X
Vascular Surgery Physician
35129583
OH
2086S0129X
Vascular Surgery Physician
52267
WI

Other

Enumeration date
07/26/2006
Last updated
07/31/2021
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