Individual
DR. JOSEPH EMERY KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1350
(208) 422-1332
Mailing address
500 W. FORT ST., ATTN 114, BOISE, ID 83702-4501
(208) 422-1350
(208) 422-1332
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M-6976
ID
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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