Provider Demographics
NPI:1447322425
Name:HARRINGTON, KENT E (DC)
Entity type:Individual
Prefix:DR
First Name:KENT
Middle Name:E
Last Name:HARRINGTON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1980 NANTUCKET DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3360
Mailing Address - Country:US
Mailing Address - Phone:972-238-1373
Mailing Address - Fax:972-238-1357
Practice Address - Street 1:1980 NANTUCKET DR
Practice Address - Street 2:SUITE 104
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3360
Practice Address - Country:US
Practice Address - Phone:972-238-1373
Practice Address - Fax:972-238-1357
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2661111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX75-2058791OtherTAX I.D.
TXT13704Medicare UPIN
TX600949Medicare ID - Type Unspecified