Provider Demographics
NPI:1275125593
Name:KENT PSYCHIATRY PLLC
Entity Type:Organization
Organization Name:KENT PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUTHORIZED OFFICIAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:KAYLA
Authorized Official - Last Name:KENT
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:859-200-5392
Mailing Address - Street 1:139 TROON CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-8015
Mailing Address - Country:US
Mailing Address - Phone:859-200-5392
Mailing Address - Fax:
Practice Address - Street 1:139 TROON CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-8015
Practice Address - Country:US
Practice Address - Phone:859-200-5392
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-08
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty