Individual
MR. JOEL MICHAEL KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
460 SAINT MICHAELS DR STE 1104, SANTA FE, NM 87505-7709
(505) 820-2562
(505) 795-7123
Mailing address
460 SAINT MICHAELS DR STE 1104, SANTA FE, NM 87505-7709
(505) 820-2562
(505) 795-7123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA2020-0023
NM
363A00000X
Physician Assistant
Primary
PA2020-0023
NM
363A00000X
Physician Assistant
—
—
Other
Enumeration date
12/18/2019
Last updated
08/05/2021
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