Individual
KENT H. RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2711 RANDOLPH RD, BLDG 400, CHARLOTTE, NC 28207-2027
(704) 348-2992
(704) 334-3061
Mailing address
1620 SCOTT AVE, CHARLOTTE, NC 28203-5848
(704) 332-0366
(704) 971-0035
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
32838
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89-70643
—
NC
05
—
NT4196
—
SC
Enumeration date
05/26/2006
Last updated
12/11/2007
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