Individual
DR. STEPHEN WARREN KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2320 WILMA RUDOLPH BLVD, CLARKSVILLE, TN 37040-5821
(931) 645-1564
(931) 645-3842
Mailing address
2320 WILMA RUDOLPH BLVD, CLARKSVILLE, TN 37040-5821
(931) 645-1564
(931) 645-3842
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD14265
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4041104
BLUECROSS BLUESHIELD
TN
Enumeration date
05/24/2006
Last updated
01/14/2016
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