Individual
BRENT KENNER CHILDERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8800 W EMERALD ST, BOISE, ID 83704-8205
(208) 373-5000
Mailing address
PO BOX 4008, PORTLAND, OR 97208-4008
(503) 372-2740
(503) 372-2754
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD6244
ID
Other
Enumeration date
06/04/2006
Last updated
07/08/2007
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