Provider Demographics
NPI:1851923353
Name:KENT, TONYA ROCHELLE
Entity Type:Individual
Prefix:MS
First Name:TONYA
Middle Name:ROCHELLE
Last Name:KENT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 BEAUVUE RD
Mailing Address - Street 2:
Mailing Address - City:ELM CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27822-9206
Mailing Address - Country:US
Mailing Address - Phone:919-633-2499
Mailing Address - Fax:
Practice Address - Street 1:314 BEAUVUE RD
Practice Address - Street 2:
Practice Address - City:ELM CITY
Practice Address - State:NC
Practice Address - Zip Code:27822-9206
Practice Address - Country:US
Practice Address - Phone:919-633-2499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-12
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC91906376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide