Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | VT |
NPI | 1124023577 |
---|---|
Provider Name | Dr. Edward F. Kent JR. |
First Address | South Burlington, VT 05403-5201 |
Second Address | South Burlington, VT 05403-5201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2005 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0009448 | (05) | VT |
0055573-001 | CIGNA (01) | VT |
01140418 | (05) | NY |
30F541 | BCBS NORTHEAST NY (01) | NY |
3V002 | MVP (01) | VT |
9969 | BLUE CROSS BLUE SHIELD VT (01) | VT |
E13692 | (02) |