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Individual

KENT E BISHOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5700 MONROE ST, SYLVANIA, OH 43560-2767
(419) 419-6622
(419) 473-6627
Mailing address
1 SEAGATE, SUITE 800, TOLEDO, OH 43604-1558
(567) 585-1994
(419) 824-7359

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35060901
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000141235
ANTHEM
OH
01
01462
PARAMOUNT
OH
01
07-01543
UNITED HEALTHCARE
OH
05
0908316
OH
01
160041507
RAILROAD MEDICARE
OH
01
2083449
AETNA
OH
01
291589463
TRICARE
OH
01
291589463-006
MMO
OH
Enumeration date
07/08/2005
Last updated
11/03/2023
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