| Doctor Name: | BARRY L KENTOPP |
| NPI Number: | 1194702050 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | 1500878 |
| Business Practice Address: | 1700 Cogdell Blvd Snyder, TX - 795496162 |
| Business Phone Number: | 3255747240 |
| Business Fax Number: | 3255747433 |
| Mailing Address: | 1700 Cogdell Blvd, SNYDER |
| State: | TX |
| Postal Code: | 795496162 |
| Phone Number: | 3255747240 |
| Fax Number: | 3255747433 |
| NPI Enumeration Date: | 12/30/2005 |
| NPI Last Update Date: | 05/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 1500878 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |