Individual
PHILLIP L KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
4455 E 56TH ST, DAVENPORT, IA 52807-2995
(563) 355-2577
(563) 355-4015
Mailing address
865 LINCOLN RD, STE L10, BETTENDORF, IA 52722-4190
(563) 355-9191
(563) 355-3419
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
00929
IA
103T00000X
Psychologist
00424
IA
103T00000X
Psychologist
00929
IA
103T00000X
Psychologist
LP1079
MN
103T00000X
Psychologist
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0447185
—
IA
01
—
45245
WELLMARK HEALTH PLAN
IA
01
—
IA01C3
JOHN DEERE HEALTH PLAN
—
Enumeration date
10/06/2005
Last updated
09/11/2025
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