Individual
JEFFREY KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9480 BRIAR VILLAGE PT, SUITE 200, COLORADO SPRINGS, CO 80920-7922
(719) 278-3627
(719) 623-2101
Mailing address
9480 BRIAR VILLAGE PT, SUITE 200, COLORADO SPRINGS, CO 80920-7922
(719) 278-3627
(719) 623-2101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30970
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01309707
—
CO
Enumeration date
05/26/2006
Last updated
04/22/2014
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