NPI 1760921951
Jeremie Lee Kent
Practice location
- Address
- 1115 W Main St, Lake City, IA 51449
- Phone
- (712) 464-8074
- Mailing address
- 1115 W Main St, Lake City, IA 51449-1559
Registered specialties
Driver
Primary
Registry record
- NPI
- 1760921951
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 Feb 2017
- Record last updated
- 21 Feb 2017
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.