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Individual

DR. ZACKARY JACOB KENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
320 BEARD CREEK RD, EDWARDS, CO 81632-6426
(970) 945-2840
(970) 945-1055
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01064728A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000171600
CO
Enumeration date
11/29/2007
Last updated
12/05/2023
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