Organization
KENNETH P. LINDSEY, PHD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH P. LINDSEY PHD. (PRESIDENT)
(208) 237-2446
Entity
Organization
Contact information
Practice address
1151D HOSPITAL WAY, SUITE 204, POCATELLO, ID 83201-2763
(208) 237-2446
(208) 237-2466
Mailing address
PO BOX 4285, POCATELLO, ID 83205-4285
(208) 236-1600
(208) 236-6695
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY327
ID
Other
Enumeration date
03/26/2007
Last updated
01/20/2009
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