Individual
MR. JEREMIE LEE KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 W MAIN ST, LAKE CITY, IA 51449
(712) 464-8074
Mailing address
1115 W MAIN ST, LAKE CITY, IA 51449-1559
(712) 464-8074
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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