Kildew, Kenon
Kildew, Kenon is an individual health care provider with primary practice located at 2402 W. Jefferson St. , Boise ID 83702. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kildew, Kenon can be contacted via phone (208) 369-4590.Contact Information
Primary practice address
2402 W. Jefferson St.
Boise ID 83702
Phone: (208) 369-4590
Fax: (208) 906-2346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP-1237A | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN284255 | Massachusetts |
Profile Details
| NPI number | 1396976072 |
|---|---|
| LBN Legal business name | Kildew, Kenon |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2009 |
| Last updated | Aug 7th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396976072 | NPPES |
| Other | 002002503 | MEDICARE | |
| MEDICAID | KK86131 | MEDICARE |
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