Individual
LISA W KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
212 LINDEN DR, SUITE 152, WINCHESTER, VA 22601-2894
(540) 667-0744
(540) 665-8158
Mailing address
212 LINDEN DR, SUITE 152, WINCHESTER, VA 22601-2894
(540) 667-0744
(540) 665-8158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101057457
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477514636
RAILROAD MEDICARE
—
05
—
5820073
—
VA
Enumeration date
03/29/2006
Last updated
02/08/2019
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