Individual
KRISTINE KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(585) 922-4698
(585) 922-5702
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-4698
(585) 922-5702
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
023951
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2846675
—
OH
Enumeration date
09/03/2013
Last updated
05/27/2021
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