Thomas Daniel Kent IV
Community Health Worker in Suitland, MD. Individual provider (NPI-1).
NPI number1649972829
StatusActive
Last updated in NPPESMar 20, 2023
Details
- NPI
- 1649972829
- Entity type
- Individual (NPI-1)
- Name
- Thomas Daniel Kent IV
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2023
- Certification date
- Mar 20, 2023
- Last updated
- Mar 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
3515 Silver Park Dr Apt 102Suitland, MD 20746-2917
Phone 240-838-0744
Mailing address
3515 Silver Park Dr Apt 102Suitland, MD 20746-2917
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