Individual provider · Type 1 NPI

Madison Blaire Kent

Family Nurse Practitioner · Loris, SC

NPI number 1629849302 Active

Practice location

4520 Broad St
Loris, SC 29569-2422

Call (843) 756-0959 Map

Mailing address

4206 Seaview St Apt 2
North Myrtle Beach, SC 29582-5142

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X28278 (SC)

Family Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1629849302

Madison Blaire Kent's National Provider Identifier is 1629849302, issued on Jan 11, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Loris, SC. The record was last updated on Jan 11, 2024.