Provider Demographics
NPI:1447214085
Name:KENT, ANNA ELAINE (CNM)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:ELAINE
Last Name:KENT
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 LUTZ AVE
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25404-6359
Mailing Address - Country:US
Mailing Address - Phone:304-207-0507
Mailing Address - Fax:304-398-8824
Practice Address - Street 1:184 LUTZ AVE
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25404-6359
Practice Address - Country:US
Practice Address - Phone:304-207-0507
Practice Address - Fax:304-398-8824
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-12
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAPRN67806367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife