Provider Demographics
NPI:1871551929
Name:YOUNT, KENT G (OD)
Entity type:Individual
Prefix:DR
First Name:KENT
Middle Name:G
Last Name:YOUNT
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7761 SHAFFER PKWY
Mailing Address - Street 2:STE 200
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-3728
Mailing Address - Country:US
Mailing Address - Phone:303-979-4505
Mailing Address - Fax:303-933-0714
Practice Address - Street 1:7761 SHAFFER PKWY
Practice Address - Street 2:STE 200
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-3728
Practice Address - Country:US
Practice Address - Phone:303-979-4505
Practice Address - Fax:303-933-0714
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1423152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO370738Medicare ID - Type UnspecifiedINDIVIDUAL MEDICARE ID
CO370708Medicare ID - Type UnspecifiedGROUP ID
COT87567Medicare UPIN