Most Relevant Information
Provider Data
| NPI Number: | 1003173683 |
| Provider Name: | MELISSA KAY KENT |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 255180 |
Most Important Dates
| Enumeration Date: | 04/19/2012 |
| Last Updated: | 04/19/2012 |
Provider Practice Location
1155 E BEARDSLEY PL
PUEBLO WEST
CO
810073513
Practice Location Phone/Fax
| Phone: | 7192518671 |
| Fax: |
Provider Mailing Location
1155 E BEARDSLEY PL
PUEBLO WEST
CO
810073513
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |