Healthcare Provider Details

I. General information

NPI: 1952607772
Provider Name (Legal Business Name): KENT FAMILY CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2011
Last Update Date: 08/15/2024
Certification Date: 08/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 MISKIMEN DR
NEWCOMERSTOWN OH
43832-8001
US

IV. Provider business mailing address

203 MISKIMEN DR
NEWCOMERSTOWN OH
43832-8001
US

V. Phone/Fax

Practice location:
  • Phone: 740-492-0724
  • Fax:
Mailing address:
  • Phone: 740-492-0724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number4109
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number4146
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: AARON THOMAS KENT
Title or Position: OWNER
Credential: DC
Phone: 614-359-5799