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Individual

WILLIAM MICHAEL DENT

Active
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Individual

WILLIAM MICHAEL DENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03478
KS
225100000X
Physical Therapist
3947
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
068002244
MEDICARE PTAN
KS
05
201088500A
KS
Enumeration date
11/15/2012
Last updated
12/04/2016
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