Provider Demographics
NPI:1821077629
Name:KENT, CARRIE SHEEK (MD)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:SHEEK
Last Name:KENT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 NEUSE BLVD
Mailing Address - Street 2:EAGLE HOSPITALISTS, CAROLINAEAST MEDICAL CENTER
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28560-3449
Mailing Address - Country:US
Mailing Address - Phone:252-634-6504
Mailing Address - Fax:
Practice Address - Street 1:2000 NEUSE BLVD
Practice Address - Street 2:EAGLE HOSPITALISTS, CAROLINAEAST MEDICAL CENTER
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-3449
Practice Address - Country:US
Practice Address - Phone:252-634-6504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2013-11-08
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2007-08-20
Provider Licenses
StateLicense IDTaxonomies
NC99-00133207Q00000X
NC9900133208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1199JOtherBCBS
NC891199JMedicaid
NCG92128Medicare UPIN
NC891199JMedicaid
NC2272298EMedicare PIN