Individual
JEREMY B, KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1221 LEE ST, CHARLOTTESVILLE, VA 22908-0001
(434) 924-5348
(434) 924-8335
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101242650
VA
207QS0010X
Sports Medicine (Family Medicine) Physician
0101242650
VA
Other
Enumeration date
10/29/2007
Last updated
10/05/2020
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