Healthcare Provider Details

I. General information

NPI: 1164886677
Provider Name (Legal Business Name): LARRY KENT & ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2016
Last Update Date: 04/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8313 CASS ST
OMAHA NE
68114-3529
US

IV. Provider business mailing address

8313 CASS ST
OMAHA NE
68114-3529
US

V. Phone/Fax

Practice location:
  • Phone: 402-391-0811
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateNE

VIII. Authorized Official

Name: DEAN B KENT
Title or Position: PRESIDENT
Credential:
Phone: 402-391-0811