Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kenneth Lee Gentry

Individual provider Family Medicine Physician · NPI 1790690675

Kenneth Lee Gentry is a Family Medicine Physician in Winston Salem, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2026

Practice location Address checks out

312 Jonestown Rd
Winston Salem, NC 27104-4621
Phone: (336) 716-7576
Fax: (336) 702-9342
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0010-16873 (NC)

Record details

NPI number1790690675
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 17, 2026
Last updated in NPPESOctober 27, 2026
Certification dateOctober 27, 2026

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