Wilhelm, Kenneth

Wilhelm, Kenneth is an individual health care provider with primary practice located at 4400 E Flamingo Ave , Nampa ID 83687-9203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Wilhelm, Kenneth can be contacted via phone (208) 288-4970.

Contact Information

Primary practice address
4400 E Flamingo Ave Nampa ID 83687-9203
Phone: (208) 288-4970
Fax: (208) 288-4990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X M9346 Idaho

Profile Details

NPI number 1053301416
LBN Legal business name Wilhelm, Kenneth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Jul 8th, 2007 - about 18 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 1053301416 NPPES
Idaho Other 75721 BLUE CROSS
Idaho Other 000010151677 BLUE CROSS

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