| Doctor Name: | VICKI LYNNE KENT |
| NPI Number: | 1306246194 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 201405812NP-PP |
| Business Practice Address: | 1050 W Elm Ave Suite #110 Hermiston, OR - 978382700 |
| Business Phone Number: | 5415672995 |
| Business Fax Number: | 5415677720 |
| Mailing Address: | 1050 W Elm Ave, Suite #110 HERMISTON |
| State: | OR |
| Postal Code: | 978382700 |
| Phone Number: | 5415672995 |
| Fax Number: | 5415677720 |
| NPI Enumeration Date: | 08/28/2014 |
| NPI Last Update Date: | 08/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 201405812NP-PP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |