# DR. EDWARD JOSEPH KENT III

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457766040
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | M-14606 | ID | — |
| 207L00000X | Anesthesiology Physician | MD187618 | OR | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | M-14606 | ID | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | MD187618 | OR | Yes |

## Other

- **Enumeration date:** 06/23/2014
- **Last updated:** 10/24/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1457766040 | — | ID |