Wayne S Kenning OTS

NPI 1083753248 - Specialist/Technologist, Other - 246ZS0410X

NPI Details
NPI 1083753248
Gender Male
Enumeration Date 02/05/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
215 E HAWAII AVENUE
NAMPA ID, 83686, US
Phone (208) 463-3000
Fax (208) 463-3034
Business Location
217 W GEORGIA
SUITE 115
NAMPA ID, 83686, US
Phone (208) 463-3000
Fax (208) 463-3034
Toxanomy
Taxonomy Code 246ZS0410X
License State Idaho
License Number 971057
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According to our database, Wayne S Kenning OTS NPI is 1083753248, taxonomy code is 246ZS0410X and license number is 971057, license state is located at Idaho. Wayne S Kenning OTS physically located at 215 E Hawaii Avenue, Nampa ID, 83686. NPI Number Wayne S Kenning OTS has the Individual type.

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1083753248 NPI number is provided on an as is basis without warranty of any kind. 1083753248 is maintained by the National Plan & Provider Enumeration System. The contents of Wayne S Kenning OTS are for informational purposes only.