Individual
DR. KENT NORMAN WENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 NW 76TH DR, SUITE A, GAINESVILLE, FL 32607-1593
(352) 333-1109
(352) 331-6323
Mailing address
310 NW 76TH DR, SUITE A, GAINESVILLE, FL 32607-1593
(352) 333-1109
(352) 331-6323
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME 86559
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01545
01545
FL
05
—
23176200
—
FL
Enumeration date
07/17/2006
Last updated
09/19/2007
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