MEDICARE: ALLEN S 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
1	207X00000X	Orthopaedic Surgery Physician	E7434	TX
2	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	E7434	TX
3	207XS0117X	Orthopaedic Surgery of the Spine Physician	E7434	TX
4	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician	E7434	TX
5	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	E7434	TX

General Provider Information

NPI Number	:	1831167733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLEN S KENT M.D.

Provider Business Mailing Address
First Line	:	800 12TH AVE
Second Line	:	200
City	:	FORT WORTH
State	:	TX
Zip	:	76104-2519
Country	:	US
Telephone Number	:	817-332-5591
Fax Number	:	817-332-3906

Provider Business Practice Location Address
First Line	:	800 12TH AVE
Second Line	:	200
City	:	FORT WORTH
State	:	TX
Zip	:	76104-2519
Country	:	US
Telephone Number	:	817-332-5591
Fax Number	:	817-332-3906

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	01/30/2014

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Directions to “ ALLEN S KENT M.D.” Practice Location

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