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Organization

KIMBERLY NELSON KENT PHD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIMBERLY KENT PHD (MANAGING MEMBER)
(407) 810-9357
Entity
Organization

Contact information

Practice address
175 RIVER OAKS CIR, SANFORD, FL 32771-9321
(407) 810-9357
Mailing address
175 RIVER OAKS CIR, SANFORD, FL 32771-9321
(407) 810-9357

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
PY8080
FL
314000000X
Skilled Nursing Facility
Primary
PY8080
FL

Other

Enumeration date
11/12/2012
Last updated
09/04/2014
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