MEDICARE: NUME TMS CLINICS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician		ID

General Provider Information

NPI Number	:	1902345051
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NUME TMS CLINICS, PLLC

Provider Business Mailing Address
First Line	:	5561 N GLENWOOD ST STE B
Second Line	:
City	:	GARDEN CITY
State	:	ID
Zip	:	83714-1336
Country	:	US
Telephone Number	:	208-863-0860
Fax Number	:

Provider Business Practice Location Address
First Line	:	5561 N GLENWOOD ST STE B
Second Line	:
City	:	GARDEN CITY
State	:	ID
Zip	:	83714-1336
Country	:	US
Telephone Number	:	208-954-5591
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID A KENT
Credential	:	MD
Telephone Number	:	208-863-0860

Provider Enumeration Date	:	02/21/2017
Last Update Date	:	01/16/2024

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