Provider Demographics
NPI:1497378020
Name:REPLOGLE, KENT (DC)
Entity Type:Individual
Prefix:
First Name:KENT
Middle Name:
Last Name:REPLOGLE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8078 HIGHWAY 100
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-4212
Mailing Address - Country:US
Mailing Address - Phone:615-378-7813
Mailing Address - Fax:615-953-2462
Practice Address - Street 1:8078 HIGHWAY 100
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-4212
Practice Address - Country:US
Practice Address - Phone:615-378-7813
Practice Address - Fax:615-953-2462
Is Sole Proprietor?:No
Enumeration Date:2020-05-18
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3274111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor