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NPI Code Detail

MEDICARE: BRITTIN KENT

MEDICARE: BRITTIN KENT
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
1247200000XOther Technician
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1457972598
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTIN KENT
Provider Business Mailing Address
First Line : 15565 GARFIELD CIR
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55344-1846
Country : US
Telephone Number : 916-821-9541
Fax Number :
Provider Business Practice Location Address
First Line : 10450 185TH ST W STE 100
Second Line :
City : LAKEVILLE
State : MN
Zip : 55044-6696
Country : US
Telephone Number : 507-322-7752
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2020
Last Update Date : 01/31/2022

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Directions to “ BRITTIN KENT ” Practice Location

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