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NPI Code Detail

MEDICARE: DR. BRIAN KENT PT, DPT

MEDICARE: DR. BRIAN KENT PT, DPT
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
1225100000XPhysical TherapistPT3229AR
2208100000XPhysical Medicine & Rehabilitation PhysicianPT3229AR

General Provider Information

NPI Number : 1588997746
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN KENT PT, DPT
Provider Business Mailing Address
First Line : 3612 W SOUTHERN HILLS BLVD STE 6
Second Line :
City : ROGERS
State : AR
Zip : 72758-8231
Country : US
Telephone Number : 479-621-8008
Fax Number : 479-755-9993
Provider Business Practice Location Address
First Line : 3612 W SOUTHERN HILLS BLVD STE 6
Second Line :
City : ROGERS
State : AR
Zip : 72758-8231
Country : US
Telephone Number : 501-231-3821
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2009
Last Update Date : 07/21/2022

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