Kelley A Trent, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

ME 61231 Issued in FL

Practice address

2161 Kingsley Ave
Ste 200
Orange Park, FL 32073-5113

Phone

(904) 272-3139

Fax

(904) 276-7374

NPI assigned

Sep 29, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Integrated Community Oncology Network LLC

  dba Florida Radiation Oncology Group

  • Radiation Oncology Physician
  • Jacksonville, FL
  • NPI 1043230402
  NPD (past)

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689661399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9143 PHILIPS HWY",
            "address_2": "STE 560",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322561348",
            "telephone_number": "904-363-7453",
            "fax_number": "904-538-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 KINGSLEY AVE",
            "address_2": "STE 200",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735113",
            "telephone_number": "904-272-3139",
            "fax_number": "904-276-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENT",
        "first_name": "KELLEY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME 61231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "32426",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosemonde B Toussaint, RN
• Town of Orange Park (Orange Park Fire Department)
• Ashley Louise Townes
• Jennifer Huyen Tra, PA-C
• Transformative Growth LLC
• Trenton Medical Center Inc (Palms Medical Group)
• Trenton Medical Center, Inc. (Palms Medical Group)
• Laura Vanessa Triana, DO
• Julie Marie Tribett, ATC
• Falgun S Trivedi, DO

• Hematology & Oncology Physician in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Hematology & Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.