Healthcare Provider Details

I. General information

NPI: 1043261530
Provider Name (Legal Business Name): ALAN KENT DAVID MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 04/13/2023
Certification Date: 04/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7450 HOSPITAL DR STE 4500
DUBLIN OH
43016-9693
US

IV. Provider business mailing address

7450 HOSPITAL DR STE 4500
DUBLIN OH
43016-9693
US

V. Phone/Fax

Practice location:
  • Phone: 614-788-0588
  • Fax: 614-788-0587
Mailing address:
  • Phone: 614-788-0588
  • Fax: 614-788-0587

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number40446
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.063029
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: