Individual
REBECCA LYNN KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2016 S EAGLE RD, MERIDIAN, ID 83642-6707
(208) 887-6791
Mailing address
3955 W MILANO ST, MERIDIAN, ID 83646-7207
(208) 571-0177
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
64018
ID
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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