Klark Randall Kent, PA-C

NPI #1659762144 in Texarkana, Texas

Provider Information

NPI Number: 1659762144
Entity Type: Individual
Name: Klark Randall Kent, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 5, 2015
Last Updated: Feb 5, 2015

Practice Location

Address: 3515 RICHMOND RD
City: Texarkana
State: Texas
ZIP Code: 75503-0711
Phone: (903) 791-9355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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