Provider Demographics
NPI:1235396623
Name:FRANKS, KENT WESLEY (PHD)
Entity Type:Individual
Prefix:DR
First Name:KENT
Middle Name:WESLEY
Last Name:FRANKS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2160 W CHESTERFIELD BLVD
Mailing Address - Street 2:F201
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65807-8650
Mailing Address - Country:US
Mailing Address - Phone:417-863-8854
Mailing Address - Fax:417-863-8854
Practice Address - Street 1:2160 W CHESTERFIELD BLVD
Practice Address - Street 2:F201
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-8650
Practice Address - Country:US
Practice Address - Phone:417-863-8854
Practice Address - Fax:417-863-8854
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004701987103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical