Provider Demographics
NPI:1952607772
Name:KENT FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:KENT FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:KENT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:614-359-5799
Mailing Address - Street 1:203 MISKIMEN DR
Mailing Address - Street 2:
Mailing Address - City:NEWCOMERSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:43832-8001
Mailing Address - Country:US
Mailing Address - Phone:740-492-0724
Mailing Address - Fax:
Practice Address - Street 1:203 MISKIMEN DR
Practice Address - Street 2:
Practice Address - City:NEWCOMERSTOWN
Practice Address - State:OH
Practice Address - Zip Code:43832-8001
Practice Address - Country:US
Practice Address - Phone:740-492-0724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-27
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
111N00000X
OH4109261Q00000X
OH4146261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center