NPI 1699461350

Kevin Gentry

Practitioner Technician Macon, GA

Practice location

Address: 3640 Eisenhower Pkwy, Macon, GA 31206-3676
Phone: (770) 946-2453
Fax: (478) 294-1866
Mailing address: 5869 US Highway 80 E, Knoxville, GA 31050-2562

Registered specialties

Technician Primary

Nursing Service Related Providers Taxonomy 374700000X

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Registry record

NPI: 1699461350
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Apr 2023
Record last updated: 14 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.