NPI Profile for KENT MEDICAL in LEBANON, VA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant |
| NPI Number | 1043089147 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/29/2023 | |
| Last updated | 06/05/2024 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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KENT MEDICAL
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| JENNY M PRUITT, PA 58 CARROLL ST LEBANON, VA |
| KELSEY W MCCOY, PA 58 CARROLL STREET LEBANON, VA |
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| MARY M BREWER, PA-C 6801 GOVERNOR GEORGE C. PEERY HIGHWAY RICHLANDS, VA |