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DAVID A. KENT, M.D., CHARTERED

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Company Details

Name: DAVID A. KENT, M.D., CHARTERED
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 01 Oct 1991 (34 years ago)
Financial Date End: 31 Oct 2024
Date dissolved: 11 Jan 2025
Entity Number: 298719
Place of Formation: IDAHO
File Number: 298719
ZIP code: 83714
County: Ada County
Mailing Address: DAVID KENT STE B 5561 N GLENWOOD ST GARDEN CITY, ID 83714-1336

Agent

Name Role Address
DAVID A KENT MD Agent 5561 N GLENWOOD ST, STE B, GARDEN CITY, ID 83714

President

Name Role Address Appointed On
david kent President 355 E ROOSTER DR, EAGLE, ID 83616 2021-04-05

National Provider Identifier

NPI Number:
1447428735
Certification Date:
2024-02-07

Authorized Person:

Name:
DAVID A KENT
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0006064938 2025-01-11
Application for Reinstatement 0005835184 2024-08-02
Dissolution/Revocation - Administrative 0004564864 2022-01-12
Application for Reinstatement 0004229845 2021-04-05
Dissolution/Revocation - Administrative 0003721943 2019-12-30

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Date of last update: 27 Jun 2025

Sources: Idaho Secretary of State