Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | MD019478E | PA |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | MD019478E | PA |
NPI | 1578563318 |
---|---|
Provider Name | William David Kent |
First Address | Saint Thomas, PA 17252-9715 |
Second Address | Saint Thomas, PA 17252-9715 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2005 |
Last Update Date | 09/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0006163620003 | (05) | PA |
080142010 | RAILROAD MEDICARE (01) | PA |
1007307260034 | MEDICAID GROUP # (01) | PA |
120420408 | DEPT OF LABOR (01) | PA |
122763 | UNISON (01) | PA |
1329775 | FIRST HEALTH (01) | |
25-1716306 | DEVON (01) | PA |
25-1716306 | GREATWEST (01) | PA |
25-1716306 | HEALTHNET/TRICARE (01) | PA |
25-1716306 | INFORMED (01) | PA |
25-1716306 | INTERGROUP (01) | PA |
25-1716306 | MULTIPLAN/PHCS (01) | PA |
25-1716306 | SOUTH CENTRAL PREFERRED (01) | PA |
292258 | MAMSI (01) | PA |
424178 | HEALTH AMERICA (01) | PA |
4603564 | AETNA NON-HMO (01) | PA |
50001095 | CAPITAL BLUECROSS (01) | PA |
831281 | AETNA HMO (01) | PA |
867633 | MEDICARE GROUP # (01) | PA |
87050 | HIGHMARK BLUE SHIELD (01) | PA |
AK765626 | DEA (01) | PA |
C29423 | (02) | PA |
G920-0038/KDM4CU | CAREFIRST (01) | PA |
MD019478E | PA LICENSE (01) | PA |
P005049 | GATEWAY (01) | PA |