Individual provider · Type 1 NPI

Jacob Ryan Kent

Student in an Organized Health Care Education/Training Program · Fayette, MO

NPI number 1841702685 Active

Practice location

411 Central Methodist Sq
Fayette, MO 65248-1104

Call (573) 544-5902 Map

Mailing address

305 N Broadwater St
New Florence, MO 63363-1232

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1841702685

Jacob Ryan Kent's National Provider Identifier is 1841702685, issued on Nov 2, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fayette, MO. The record was last updated on Nov 2, 2017.