Provider Demographics
NPI:1215355672
Name:KENT, RHETT AUSTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:RHETT
Middle Name:AUSTIN
Last Name:KENT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:801 YORK ST
Mailing Address - Street 2:
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220-4630
Mailing Address - Country:US
Mailing Address - Phone:920-663-9008
Mailing Address - Fax:920-684-1439
Practice Address - Street 1:3833 FAIRFAX DR STE 360
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1774
Practice Address - Country:US
Practice Address - Phone:571-363-4791
Practice Address - Fax:571-363-4792
Is Sole Proprietor?:No
Enumeration Date:2014-04-02
Last Update Date:2021-03-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101267002207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology