Individual
KENT J NEWSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 SCIENCE CT STE 200, PROFESSIONAL PATHOLOGY SERVICES, COLUMBIA, SC 29203-9653
(866) 252-1913
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
39793
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016304800
—
FL
Enumeration date
10/10/2008
Last updated
07/18/2016
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