Individual
HELEN KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2725 CHANNING WAY, IDAHO FALLS, ID 83404-7510
(208) 525-8448
(208) 525-8118
Mailing address
2725 CHANNING WAY, IDAHO FALLS, ID 83404-7510
(208) 525-8448
(208) 525-8118
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA243
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807531900
—
ID
Enumeration date
11/01/2006
Last updated
12/07/2009
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