Jacob Ryan Kent
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Fayette, MO
NPI 1841702685 · NPPES record last updated Nov 2, 2017
Key facts
- NPI
- 1841702685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 411 Central Methodist SQ
Fayette, MO 65248-1104 - Phone
- (573) 544-5902
- NPI assigned
- Nov 2, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
411 Central Methodist SQ
Fayette, MO 65248-1104
Mailing address
305 N Broadwater St
New Florence, MO 63363-1232
Other providers in Fayette, MO
- Howard County Home Health and Hospice
- Howard County Sheltered Services Board
- Jordan Jenkins
- John Fitzgibbon Memorial Hospital Inc
- Just What the Doctor Ordered
- Teresa Maxine Kircher
- Christina Corinne Kirkendoll
- Paden G. Kleinhesselink
- Kerry A Kroeker
- Linda Perkins Home Inc
All providers in Fayette, MO · Student in an Organized Health Care Education/Training Program in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.