Individual
DR. EDWARD JOSEPH KENT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1140 SW SIMPSON AVE, BEND, OR 97702-3789
(541) 388-2333
(541) 388-0930
Mailing address
PO BOX 1517, PENDLETON, OR 97801-0410
(877) 708-1119
(541) 278-8349
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
M-14606
ID
207L00000X
Anesthesiology Physician
MD187618
OR
207LP2900X
Pain Medicine (Anesthesiology) Physician
M-14606
ID
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD187618
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457766040
—
ID
Enumeration date
06/23/2014
Last updated
10/24/2022
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