Individual
MR. KENNETH E KENT JR.
Active
Individual
MR. KENNETH E KENT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306778
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03819129
—
NY
05
—
1031052
—
VT
05
—
110125226A
—
MA
Enumeration date
02/08/2014
Last updated
07/21/2022
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