Organization
DAVID A KENT MD CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A KENT (PRESIDENT)
(208) 863-0860
Entity
Organization
Contact information
Practice address
5516 N GLENWOOD ST, STE B, GARDEN CITY, ID 83714-9219
(208) 863-0860
Mailing address
5561 N GLENWOOD ST STE B, GARDEN CITY, ID 83714-1336
(208) 863-0860
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M5609
ID
Other
Enumeration date
02/20/2008
Last updated
02/08/2024
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