Kent, Vincent Carl

Kent, Vincent Carl is an sole proprietor health care provider with primary practice located at 107 W Pleasant Ave , Covington TN 38019-2535. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Kent, Vincent Carl can be contacted via phone (901) 475-9229.

Contact Information

Primary practice address
107 W Pleasant Ave Covington TN 38019-2535
Phone: (901) 475-9229
Fax: (901) 475-2828
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G15295 California
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 27521 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 027521 Tennessee

Profile Details

NPI number 1821085770
LBN Legal business name Kent, Vincent Carl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2005
Last updated May 20th, 2014 - about 12 years ago

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 1821085770 NPPES
Tennessee Other 4232110 BCBS
Tennessee MEDICAID 1513566 BCBS
Tennessee MEDICAID 1821085770 BCBS
Tennessee Other 4356224 BCBS
Tennessee MEDICAID 3097454 BCBS

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