# KOOTENAI KIDS PEDIATRICS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053675629
- **Authorized official:** DR. KENNETH AKEY MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (208) 773-5437

## Contact information

- **Practice address:** 761 N THORNTON ST, STE A, POST FALLS, ID 83854-6105
- **Practice address phone:** (208) 773-5437
- **Mailing address:** 761 N THORNTON ST, STE A, POST FALLS, ID 83854-6105
- **Mailing address phone:** (208) 773-5437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/28/2012
- **Last updated:** 06/28/2012