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
Fax: (601) 310-9811
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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