Healthcare Provider Details

I. General information

NPI: 1801888573
Provider Name (Legal Business Name): MARGARET HELEN KENT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 MILL ST UNIT B
ELLICOTTVILLE NY
14731-9702
US

IV. Provider business mailing address

39 MILL ST UNIT B
ELLICOTTVILLE NY
14731-9702
US

V. Phone/Fax

Practice location:
  • Phone: 716-699-2588
  • Fax: 716-699-2618
Mailing address:
  • Phone: 716-699-2588
  • Fax: 716-699-2618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF332052
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number404726
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: