Provider Demographics
NPI:1114054905
Name:KENTOF, GIL PAUL (DC)
Entity Type:Individual
Prefix:DR
First Name:GIL
Middle Name:PAUL
Last Name:KENTOF
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 S ROYAL OAKS BLVD STE 222
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-1311
Mailing Address - Country:US
Mailing Address - Phone:615-794-0800
Mailing Address - Fax:615-794-0986
Practice Address - Street 1:209 S ROYAL OAKS BLVD
Practice Address - Street 2:SUITE 222
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-1310
Practice Address - Country:US
Practice Address - Phone:615-794-0800
Practice Address - Fax:615-794-0986
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN698111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor