| NPI | 1205900974 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-11-17 |
| Last Updated | 2024-06-05 |
| Mailing Address | 912 W Main St Lebanon, VA 24266-3814 United States Phone: (276) 880-0211 | Fax: (276) 880-0213 📍 View Map |
| Primary Practice Address | 912 W Main St Lebanon, VA 24266-3814 United States Phone: (276) 880-0211 | Fax: (276) 880-0213 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | VA | 1205900974 | - |
| Other (non-Medicare) | VA | P00606362 | Railroad Medicare |
| Other (non-Medicare) | VA | P01658816 | Railroad Medicare |
| MEDICAID | TN | Q014539 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363A00000X – Physician Assistant | VA | 0110002132 |
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About NPI 1205900974
Wiley R Kent PA is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1205900974. The primary specialty listed is Physician Assistant. The provider is located in Lebanon, VA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-11-17. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1205900974?
NPI 1205900974 belongs to Wiley R Kent PA, a Physician Assistant in Lebanon, VA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1205900974 active?
The current status of NPI 1205900974 in the NPPES registry is Active. The record was last updated on 2024-06-05.
What specialty is NPI 1205900974?
NPI 1205900974 is classified under the taxonomy Physician Assistant. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1205900974?
You can verify NPI 1205900974 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1205900974?
The primary practice address on file for NPI 1205900974 is 912 W Main St, Lebanon, VA 24266-3814. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1205900974 issued?
NPI 1205900974 was first issued (enumerated) on 2006-11-17. The NPPES record was last updated on 2024-06-05.
Practice Location Map
Wiley R Kent is located at 912 W Main St, Lebanon, VA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Wiley R Kent. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1205900974. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Physician Assistant | 0110002132 | VA |