Provider Demographics
NPI:1952390312
Name:NEW, KENT CHRISTOPHER (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:KENT
Middle Name:CHRISTOPHER
Last Name:NEW
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Gender:M
Credentials:MD PHD
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Mailing Address - Street 1:4205 BELFORT ROAD
Mailing Address - Street 2:SUITE 3075 JOE ADAMS BUILDING
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216
Mailing Address - Country:US
Mailing Address - Phone:904-296-3103
Mailing Address - Fax:904-296-3106
Practice Address - Street 1:4205 BELFORT ROAD
Practice Address - Street 2:SUITE 3075 JOE ADAMS BUILDING
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216
Practice Address - Country:US
Practice Address - Phone:904-296-3103
Practice Address - Fax:904-296-3106
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2009-08-25
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Provider Licenses
StateLicense IDTaxonomies
FLME92824207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL03397OtherBLUECROSS/BLUESHIELD