Kent, Dea Joanne

Kent, Dea Joanne is an individual health care provider with primary practice located at 9894 E 121St St , Fishers IN 46037. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Kent, Dea Joanne can be contacted via phone (317) 621-6060.

Contact Information

Primary practice address
9894 E 121St St Fishers IN 46037
Phone: (317) 621-6060
Fax: (317) 355-6965
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 71002204A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71002204A Indiana

Profile Details

NPI number 1760534432
LBN Legal business name Kent, Dea Joanne
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jun 18th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760534432 NPPES
Indiana Other 000000577583 ANTHEM PROVIDER NUMBER
Indiana Other 000000603906 ANTHEM PROVIDER NUMBER
Indiana Other P01347717 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 200908120 ANTHEM PROVIDER NUMBER

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