Individual provider · Type 1 NPI
Kenon Kildew, N.P.
Family Nurse Practitioner · Boise, ID
NPI number
1396976072
Active
Practice location
2402 W. Jefferson St.
Boise, ID 83702
Fax (208) 906-2346
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | NP-1237A (ID) |
| Family Nurse Practitioner | 363LF0000X | RN284255 (MA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1396976072
Kenon Kildew, N.P.'s National Provider Identifier is 1396976072, issued on Jul 29, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boise, ID. The record was last updated on Aug 7, 2019.