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KENT MEDICAL
NPI 1043089147
Physician Assistant - Medical in Lebanon, VA

Active since December 29, 2023CLIA 49D2296022 · Waiver
912 WEST MAIN STREET, LEBANON, VA 24266(276) 880-0211(276) 880-0213 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kent Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENT MEDICAL (NPI 1043089147) is a healthcare organization registered as a medical in Lebanon, Virginia and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through December 19, 2027 and lists Wiley R Kent, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1043089147
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameKENT MEDICAL
Location Address912 WEST MAIN STREETLebanon, VA 24266
Mailing Address912 West Main StreetLebanon, VA 24266 · (276) 880-0211 · Fax (276) 880-0213
Phone(276) 880-0211
Fax(276) 880-0213
Organization SubpartNo
Authorized OfficialWiley R KentPhysician Assistant · (276) 880-0211
Enumeration DateDecember 29, 2023
Last NPPES UpdateJune 5, 2024
NPPES CertifiedJune 5, 2024
✔ NPI 1043089147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
912 WEST MAIN STREET, Lebanon, VA 24266
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2296022

Kent Medical · Lebanon, VA
Active · expires Dec 19, 2027
CLIA Number49D2296022
Laboratory TypePhysician Office
Certificate Effective DateDecember 20, 2025
Certificate Expiration DateDecember 19, 2027
Laboratory DirectorWiley R. Kent
Laboratory Phone(276) 880-0211
Laboratory LocationKent Medical912 West Main St, Lebanon, VA 24266
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kent Medical's NPI number?

The NPI number for Kent Medical is 1043089147. It was assigned to this organization in the NPPES registry on December 29, 2023.

Where is Kent Medical located?

Kent Medical is located at 912 West Main Street, Lebanon, VA 24266. The listed phone number is (276) 880-0211.

What is Kent Medical's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Does Kent Medical hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2296022) is associated with this NPI, valid through December 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kent Medical was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.