Individual
WILLIAM DAVID KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2257 MCDOWELL RD, SAINT THOMAS, PA 17252-9715
(717) 658-1519
Mailing address
2257 MCDOWELL RD, SAINT THOMAS, PA 17252-9715
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD019478E
PA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
MD019478E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006163620003
—
PA
01
—
080142010
RAILROAD MEDICARE
PA
01
—
1007307260034
MEDICAID GROUP #
PA
01
—
120420408
DEPT OF LABOR
PA
01
—
122763
UNISON
PA
01
—
1329775
FIRST HEALTH
—
01
—
25-1716306
INTERGROUP
PA
01
—
292258
MAMSI
PA
01
—
424178
HEALTH AMERICA
PA
01
—
4603564
AETNA NON-HMO
PA
01
—
50001095
CAPITAL BLUECROSS
PA
01
—
831281
AETNA HMO
PA
01
—
867633
MEDICARE GROUP #
PA
01
—
87050
HIGHMARK BLUE SHIELD
PA
01
—
G920-0038/KDM4CU
CAREFIRST
PA
01
—
MD019478E
PA LICENSE
PA
01
—
P005049
GATEWAY
PA
Enumeration date
07/22/2005
Last updated
03/07/2023
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