Individual
DR. KENT RAVENSCROFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4710 30TH ST NW, WASHINGTON, DC 20008-2109
(202) 966-4091
Mailing address
PO BOX 42728, WASHINGTON, DC 20015-6128
(202) 966-4091
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
MD5025
DC
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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