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NPI Code Detail

MEDICARE: KENT DENSON

MEDICARE: KENT DENSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician22934OK
2207Q00000XFamily Medicine Physician22934OK

General Provider Information

NPI Number : 1285758904
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENT DENSON
Provider Business Mailing Address
First Line : 1921 STONECIPHER DR
Second Line :
City : ADA
State : OK
Zip : 74820-3439
Country : US
Telephone Number : 580-436-3980
Fax Number : 580-272-5731
Provider Business Practice Location Address
First Line : 905 COLONY DR
Second Line :
City : ADA
State : OK
Zip : 74820-2329
Country : US
Telephone Number : 580-436-5111
Fax Number : 580-272-5731
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 02/22/2023

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Directions to “ KENT DENSON ” Practice Location

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