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Organization

DAVID A KENT MD CHARTERED

Active
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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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