| David A Kent Md Chartered | |
|
5516 N Glenwood St Ste B Garden City ID 83714-9219 | |
| (208) 863-0860 | |
| Not Available |
| Full Name | David A Kent Md Chartered |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5516 N Glenwood St, Garden City, Idaho |
| Authorized Official Name and Position | David A Kent (PRESIDENT) |
| Authorized Official Contact | 2088630860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David A Kent Md Chartered 5561 N Glenwood St Ste B Garden City ID 83714-1336 Ph: (208) 863-0860 | David A Kent Md Chartered 5516 N Glenwood St Ste B Garden City ID 83714-9219 Ph: (208) 863-0860 |
| NPI Number | 1447428735 |
|---|---|
| Provider Enumeration Date | 02/20/2008 |
| Last Update Date | 02/08/2024 |
| Certification Date | 02/07/2024 |
| Medicare PECOS PAC ID | 5890746077 |
|---|---|
| Medicare Enrollment ID | O20050204000299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447428735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | M5609 (Idaho) | Primary |
| Provider Name | David A Kent |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215965199 PECOS PAC ID: 1850379439 Enrollment ID: I20050204000236 |
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