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NPI Code Detail

MEDICARE: MRS. LAURA HALL KENT

MEDICARE:  MRS. LAURA HALL 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
1222Q00000XDevelopmental TherapistNY

General Provider Information

NPI Number : 1609138601
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAURA HALL KENT
Provider Business Mailing Address
First Line : 6011 WILLIAMS RD
Second Line :
City : MUNNSVILLE
State : NY
Zip : 13409-3111
Country : US
Telephone Number : 315-495-1811
Fax Number :
Provider Business Practice Location Address
First Line : 6011 WILLIAMS RD
Second Line :
City : MUNNSVILLE
State : NY
Zip : 13409-3111
Country : US
Telephone Number : 315-495-1811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2012
Last Update Date : 07/21/2022

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Directions to “ MRS. LAURA HALL KENT ” Practice Location

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