Provider Demographics
NPI:1508031691
Name:BARBARA A ROGOWSKI KENT, MD, LLC
Entity Type:Organization
Organization Name:BARBARA A ROGOWSKI KENT, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ROGOWSKI KENT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-329-3533
Mailing Address - Street 1:341 21ST AVE N
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1849
Mailing Address - Country:US
Mailing Address - Phone:615-329-3533
Mailing Address - Fax:615-329-3598
Practice Address - Street 1:341 21ST AVE N
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1849
Practice Address - Country:US
Practice Address - Phone:615-329-3533
Practice Address - Fax:615-329-3598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD25031207R00000X, 261QH0100X
TNTN25031261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNG00806Medicare UPIN