Provider Demographics
NPI:1922204668
Name:KENT PULMONARY ASTHMA AND SLEEP MEDICINE LLC
Entity Type:Organization
Organization Name:KENT PULMONARY ASTHMA AND SLEEP MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:LABOVE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-738-2325
Mailing Address - Street 1:215 TOLL GATE RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-4458
Mailing Address - Country:US
Mailing Address - Phone:401-738-2325
Mailing Address - Fax:401-738-7716
Practice Address - Street 1:215 TOLL GATE RD
Practice Address - Street 2:SUITE 106
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-4458
Practice Address - Country:US
Practice Address - Phone:401-738-2325
Practice Address - Fax:401-738-7716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty