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Individual

JOSEPH HENRY KENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2301 S 56TH ST, SUITE 110, FORT SMITH, AR 72903-3755
(479) 785-2555
(479) 785-3555
Mailing address
PO BOX 11964, FORT SMITH, AR 72917-1964
(479) 785-2555
(479) 785-3555

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP108657
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
C00348
AR
367500000X
Certified Registered Nurse Anesthetist
R 89957
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100782330A
OK
05
117292701
AR
Enumeration date
09/15/2006
Last updated
05/09/2018
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