Provider Demographics
NPI:1902477029
Name:KENT, SARA PAIGE (CRNA)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:PAIGE
Last Name:KENT
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:30 MEDICAL CENTER BLVD.
Mailing Address - Street 2:POB 1 SUITE 305
Mailing Address - City:UPLAND
Mailing Address - State:PA
Mailing Address - Zip Code:19013
Mailing Address - Country:US
Mailing Address - Phone:484-768-6845
Mailing Address - Fax:610-471-2050
Practice Address - Street 1:30 MEDICAL CENTER BLVD.
Practice Address - Street 2:SUITE 305
Practice Address - City:UPLAND
Practice Address - State:PA
Practice Address - Zip Code:19013
Practice Address - Country:US
Practice Address - Phone:484-768-6845
Practice Address - Fax:610-471-2050
Is Sole Proprietor?:No
Enumeration Date:2021-07-09
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PATLRN062929367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered