Cogen, Kenneth Alan

Cogen, Kenneth Alan is an individual health care provider with primary practice located at 746 N College Rd Suite D, Twin Falls ID 83301-3486. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Cogen, Kenneth Alan can be contacted via phone (208) 814-7230.

Contact Information

Primary practice address
746 N College Rd Suite D Twin Falls ID 83301-3486
Phone: (208) 814-7230
Fax: (208) 734-1178
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X M10054 Idaho

Profile Details

NPI number 1629064555
LBN Legal business name Cogen, Kenneth Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Dec 30th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629064555 NPPES
Idaho MEDICAID 807994200
Idaho Other P00704141

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