Kent, Ronald S
Kent, Ronald S is an individual health care provider with primary practice located at 1112 Walden Way , Hattiesburg MS 39402-7056. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kent, Ronald S can be contacted via phone (601) 310-9811.Contact Information
Primary practice address
1112 Walden Way
Hattiesburg MS 39402-7056
Phone: (601) 310-9811
Fax: (601) 310-9811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 08370 | Mississippi |
Profile Details
| NPI number | 1417061250 |
|---|---|
| LBN Legal business name | Kent, Ronald S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Jun 7th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417061250 | NPPES |
| Mississippi | Other | 1559008 | AMERICAN ADMIN GROUP |
| Mississippi | MEDICAID | 00115703 | AMERICAN ADMIN GROUP |
| Mississippi | MEDICAID | 1973297 | AMERICAN ADMIN GROUP |
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