NPI Code Details Logo

NPI 1376878090

NPI 1376878090 : ROBIN DENISE KENT PA/C : LEONARD, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1376878090
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ROBIN DENISE KENT PA/C
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/14/2009
-----------------------------------------------------
    Last Update Date     |    12/08/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    700 N STATE HIGHWAY 78 
-----------------------------------------------------
    City                 |    LEONARD
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75452-0198
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    903-587-0287
-----------------------------------------------------
    Fax                  |    903-587-0298
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    501 AIR PARK AVE 
-----------------------------------------------------
    City                 |    GREENVILLE
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75402-3000
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    903-408-5834
-----------------------------------------------------
    Fax                  |    903-408-5693
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363AM0700X
-----------------------------------------------------
    Taxonomy Name        |    Medical Physician Assistant
-----------------------------------------------------
    License Number       |    PA01218
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.