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NPI Code Detail

MEDICARE: DR. DANA TRAVIS KENT M.D.

MEDICARE: DR. DANA TRAVIS KENT M.D.
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
1207Q00000XFamily Medicine PhysicianG75804CA

General Provider Information

NPI Number : 1578585857
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANA TRAVIS KENT M.D.
Provider Business Mailing Address
First Line : 559 E ALISAL ST
Second Line : SUITE 201
City : SALINAS
State : CA
Zip : 93905-2516
Country : US
Telephone Number : 831-769-1304
Fax Number : 831-757-0291
Provider Business Practice Location Address
First Line : 1150 FREMONT BLVD
Second Line :
City : SEASIDE
State : CA
Zip : 93955-5715
Country : US
Telephone Number : 831-899-8100
Fax Number : 831-899-8105
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 07/08/2007

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Directions to “ DR. DANA TRAVIS KENT M.D.” Practice Location

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