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NPI Code Detail

MEDICARE: DR. KIMBERLY NELSON KENT PH.D.

MEDICARE: DR. KIMBERLY NELSON KENT PH.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
1103TC0700XClinical Psychologist1675LA

General Provider Information

NPI Number : 1902048903
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIMBERLY NELSON KENT PH.D.
Provider Business Mailing Address
First Line : 105 FOX RUN DR
Second Line :
City : MANDEVILLE
State : LA
Zip : 70471-7233
Country : US
Telephone Number : 407-810-9357
Fax Number :
Provider Business Practice Location Address
First Line : 2000 CANAL ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70112-3018
Country : US
Telephone Number : 504-702-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2009
Last Update Date : 03/25/2026

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