Provider Demographics
NPI:1699654947
Name:TRENT, KENDAN GLEN
Entity type:Individual
Prefix:
First Name:KENDAN
Middle Name:GLEN
Last Name:TRENT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 COON BR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:WV
Mailing Address - Zip Code:25621-9753
Mailing Address - Country:US
Mailing Address - Phone:304-928-0211
Mailing Address - Fax:
Practice Address - Street 1:123 COON BR
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:WV
Practice Address - Zip Code:25621-9753
Practice Address - Country:US
Practice Address - Phone:304-928-0211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-30
Last Update Date:2025-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant