Provider Demographics
NPI:1861036873
Name:LLANORA, KENT PHILLIP (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:KENT
Middle Name:PHILLIP
Last Name:LLANORA
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 WATERFORD CIR
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-7635
Mailing Address - Country:US
Mailing Address - Phone:502-330-4742
Mailing Address - Fax:
Practice Address - Street 1:108 DIAGNOSTIC DR STE C
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-6556
Practice Address - Country:US
Practice Address - Phone:502-607-8910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-01
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY007838225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist