Provider Demographics
NPI:1447866389
Name:KENT, KRYSTAL RENEE (APRN-CNP)
Entity type:Individual
Prefix:
First Name:KRYSTAL
Middle Name:RENEE
Last Name:KENT
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2510 CROCKETT DR STE A
Mailing Address - Street 2:
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76801-5928
Mailing Address - Country:US
Mailing Address - Phone:325-646-9956
Mailing Address - Fax:325-641-1010
Practice Address - Street 1:2510 CROCKETT DR STE A
Practice Address - Street 2:
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801-5928
Practice Address - Country:US
Practice Address - Phone:325-646-9956
Practice Address - Fax:325-641-1010
Is Sole Proprietor?:No
Enumeration Date:2020-09-16
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1011641363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner