Provider Demographics
NPI:1740733930
Name:KENT, CHERYL D (DC)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:D
Last Name:KENT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:471 N SEMORAN BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-3803
Mailing Address - Country:US
Mailing Address - Phone:407-670-8990
Mailing Address - Fax:407-386-8990
Practice Address - Street 1:471 N SEMORAN BLVD STE B
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-3803
Practice Address - Country:US
Practice Address - Phone:407-670-8990
Practice Address - Fax:407-386-8990
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-25
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11911111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor