KENT MEDICAL NPI 1043089147

NPI Information

  • NPI: 1043089147
  • Provider Name: KENT MEDICAL
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Organization
  • CLIA Number: 49D2296022
  • Address: 912 WEST MAIN STREET
    LEBANON, VA
    ZIP 24266
  • Phone: (276) 880-0211

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NPI Details

KENT MEDICAL is a medical physician assistant in Lebanon, VA. KENT MEDICAL NPI is 1043089147. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

912 WEST MAIN STREET
LEBANON, VA
ZIP 24266
Phone: (276) 880-0211
Fax: (276) 880-0213

The provider's authorized official is Wiley R Kent .
The authorized official title is Physician Assistant and has the following contact phone number (276) 880-0211.

The CLIA number assigned to this NPI record is 49D2296022 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2023 and was last updated on 6/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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