Provider Demographics
NPI:1326280595
Name:KENT, KATIE MAY (LAC)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:MAY
Last Name:KENT
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:MISS
Other - First Name:KATIE
Other - Middle Name:MAY
Other - Last Name:KENT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1805 S. OHIO ST.
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67402-2117
Mailing Address - Country:US
Mailing Address - Phone:785-825-6224
Mailing Address - Fax:785-827-7895
Practice Address - Street 1:1804 GLENDALE
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-6601
Practice Address - Country:US
Practice Address - Phone:785-825-6224
Practice Address - Fax:785-825-1191
Is Sole Proprietor?:No
Enumeration Date:2009-04-02
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)