Individual
DR. MICHAEL DALE KENT
Active
Individual
DR. MICHAEL DALE KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L4017
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173822101
—
TX
05
—
173822102
—
TX
05
—
173822103
—
TX
05
—
173822104
—
TX
05
—
173822105
—
TX
01
—
3833196
AETNA HMO
TX
01
—
7095249
AETNA PPO
TX
01
—
8G9743
BCBS PIN
TX
Enumeration date
08/19/2005
Last updated
09/20/2018
Update your record
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