Michael D Kenner, Md,pc

NPI #1184824617 in Caldwell, Idaho

Provider Information

NPI Number: 1184824617
Entity Type: Organization
Organization Name: Michael D Kenner, Md,pc
Primary Specialty: Internal Medicine - Cardiovascular Disease
Enumeration Date: Jul 23, 2007
Last Updated: Jul 23, 2007

Practice Location

Address: 1721 S 10TH AVE
City: Caldwell
State: Idaho
ZIP Code: 83605-4839
Phone: (208) 453-1062

Authorized Official

Name: DR. MICHAEL DAVID KENNER, MD
Title: DOCTOR/OWNER
Phone: (208) 453-1062

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X	Primary

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