Kenneth P. Lindsey, Phd, Pa

NPI 1255459608 - Psychologist - 103T00000X

NPI Details
NPI 1255459608
Enumeration Date 03/26/2007
Last Updated 01/20/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KENNETH P. KENNETH
Position PRESIDENT
Phone (208) 237-2446
Fax (208) 237-2466
Practice Location
1151D HOSPITAL WAY
SUITE 204
POCATELLO ID, 83201-2763, US
Phone (208) 237-2446
Fax (208) 237-2466
Business Location
PO BOX 4285
POCATELLO ID, 83205-4285, US
Phone (208) 236-1600
Fax (208) 236-6695
Toxanomy
Taxonomy Code 103T00000X
License State Idaho
License Number PSY327
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According to our database, Kenneth P. Lindsey, Phd, Pa NPI is 1255459608, taxonomy code is 103T00000X and license number is PSY327, license state is located at Idaho. Kenneth P. Lindsey, Phd, Pa physically located at 1151d Hospital Way, Pocatello ID, 83201-2763. NPI Number 1033115704 has the healthcare provider type.

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1255459608 NPI number is provided on an as is basis without warranty of any kind. 1255459608 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth P. Lindsey, Phd, Pa are for informational purposes only.