Individual
PHILLIP L KENT
Active
Individual
PHILLIP L KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
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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