Individual
COLLIN LYLE KENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 THOMSON DR, LYNCHBURG, VA 24501-1118
(918) 607-9063
Mailing address
407 SKYLINE AVE, DANVILLE, VA 24540-1925
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
0101275245
VA
2085R0001X
Radiation Oncology Physician
Primary
2022-01555
NC
Other
Enumeration date
06/13/2017
Last updated
05/09/2025
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