MEDICARE: MS. DEBRA ANN KENT APRN-CNP

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	363LP0200X	Pediatric Nurse Practitioner	AP105230	TX
2	363LP0200X	Pediatric Nurse Practitioner	NP 09932	OH
3	363L00000X	Nurse Practitioner	APRN.CNP.09932	OH

General Provider Information

NPI Number	:	1952486250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEBRA ANN KENT APRN-CNP

Provider Business Mailing Address
First Line	:	3333 BURNETT AVE
Second Line	:	MLC 11013
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3039
Country	:	US
Telephone Number	:	513-636-4645
Fax Number	:

Provider Business Practice Location Address
First Line	:	3333 BURNETT AVE
Second Line	:	MLC 11013
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3039
Country	:	US
Telephone Number	:	513-636-4645
Fax Number	:

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

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	04/09/2026

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