Kent, Jacqueline Ann

Kent, Jacqueline Ann is an individual health care provider with primary practice located at 5901 Lac De Ville Blvd , Rochester NY 14618-5600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kent, Jacqueline Ann can be contacted via phone (585) 442-7960.

Contact Information

Primary practice address
5901 Lac De Ville Blvd Rochester NY 14618-5600
Phone: (585) 442-7960
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 6742 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 006742 New York

Profile Details

NPI number 1568454437
LBN Legal business name Kent, Jacqueline Ann
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Jun 27th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568454437 NPPES
New York Other 000925083002 COMMUNITY BLUE / WNY
New York MEDICAID 2605498 COMMUNITY BLUE / WNY
New York Other 109969BF COMMUNITY BLUE / WNY
New York Other P019006742 COMMUNITY BLUE / WNY

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