Individual
VINCENT CARL KENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
107 W PLEASANT AVE, COVINGTON, TN 38019-2535
(901) 475-9229
(901) 475-2828
Mailing address
107 W PLEASANT AVE, COVINGTON, TN 38019-2535
(901) 475-9229
(901) 475-2828
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
027521
TN
207X00000X
Orthopaedic Surgery Physician
27521
TN
207X00000X
Orthopaedic Surgery Physician
G15295
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1513566
—
TN
05
—
1821085770
—
MO
05
—
3097454
—
TN
01
—
4232110
BCBS
TN
01
—
4356224
BLUE CROSS BLUE SHIELD
TN
Enumeration date
10/04/2005
Last updated
05/20/2014
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