Kenneth Allen Dengler

NPI #1801761424 in Boise, Idaho

Provider Information

NPI Number: 1801761424
Entity Type: Individual
Name: Kenneth Allen Dengler
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Oct 6, 2025
Last Updated: Oct 6, 2025

Practice Location

Address: 3716 W CAMAS ST
City: Boise
State: Idaho
ZIP Code: 83705-2229
Phone: (208) 794-1884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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