Kenneth Todd Blackner M.D.

  • NPI 1043339641
According to our database, the NPI number for Kenneth Todd Blackner M.D. is 1043339641 and activated since 17 years ago. Kenneth Todd Blackner M.D. is an individual provider who specializes in General Practice, and the primary practice location is 275 W Locust St, Shelley, ID 83274. You can also contact Kenneth Todd Blackner M.D. via telephone number is (208) 357-3960. Provider NPI information was last updated on 02/03/2016.

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Overview of Kenneth Todd Blackner M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 03/28/2007
  • Last updated: 02/03/2016

Primary Scrop of Practice

  • Taxonomy Code: 208D00000X
  • Specialty: General Practice
  • License Number: M-11785
  • License State: ID

Provider Mailing Address

  • Address: 618 E 1450 N
    Shelley, ID 83274
  • Phone: 757-617-3339
  • Fax:

Provider Practice Location

  • Address: 275 W Locust St
    Shelley, ID 83274
  • Phone: 208-357-3960
  • Fax:

Scope of Practice

  • Taxonomy Code: 208D00000X
  • Specialty: General Practice
  • License Number: M-11785
  • License State: ID
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kenneth Todd Blackner M.D.?
  • A: The npi number for Kenneth Todd Blackner M.D. is 1043339641.
  • Q: What are Kenneth Todd Blackner M.D.'s specialties?
  • A: Kenneth Todd Blackner M.D.'s specialties are General Practice and different specialities.
  • Q: What is the medical license for Kenneth Todd Blackner M.D.?
  • A: The medical license number for Kenneth Todd Blackner M.D. is M-11785 and issued in ID in USA.
  • Q: Where is Kenneth Todd Blackner M.D. practice location?
  • A: Kenneth Todd Blackner M.D. is practicing at 275 W Locust St, Shelley, ID 83274.
  • Q: How to contact Kenneth Todd Blackner M.D.?
  • A: You can contact Kenneth Todd Blackner M.D. via 208-357-3960.