Provider Demographics
NPI:1477968816
Name:KENT, CHARLES (HEARING AID DISPENSE)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:
Last Name:KENT
Suffix:
Gender:M
Credentials:HEARING AID DISPENSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 WHITING WAY STE 120
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-8054
Mailing Address - Country:US
Mailing Address - Phone:478-333-2442
Mailing Address - Fax:
Practice Address - Street 1:104 WHITING WAY STE 120
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-8054
Practice Address - Country:US
Practice Address - Phone:478-333-2442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-24
Last Update Date:2021-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist