Kentromed PLLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

25062 Issued in AZ

Legal business name

KENTROMED PLLC

Practice address

6130 N la Cholla Blvd Ste 117
Tucson, AZ 85741-3589

Phone

(520) 297-1803

Fax

(520) 530-0128

NPI assigned

Dec 7, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Teney B Kentro, M.D.

Title

Owner

Phone

(520) 297-1803

Specialties & licenses 1

Addresses

Tax ID family

Kentromed PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kentromed, PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Tucson, AZ
  • NPI 1871850453
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1487922290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36210",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857406210",
            "telephone_number": "520-297-1803",
            "fax_number": "520-531-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 N LA CHOLLA BLVD STE 117",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413589",
            "telephone_number": "520-297-1803",
            "fax_number": "520-530-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTROMED PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "KENTRO",
        "authorized_official_first_name": "TENEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-297-1803",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "25062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alana Angelina Kent, AU.D., CCC-A
• Carolyn Kent
• Mary Elizabeth Kent, LPC
• Tyler Kent, MD
• Tenney Brand Kentro, M.D.
• Kentromed, PLLC
• Kenworthy Chiropractic & Wellness LLC
• Aminata Mohammed Kenyawani, SLPA
• Alexandra Gruner Keogh, M.D.
• Ajay Pravin Kerai, MD

• Geriatric Medicine (Internal Medicine) Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Geriatric Medicine (Internal Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.