Individual
DR. KENDALL MARK CRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
3335 S ASCAINO AVE, MERIDIAN, ID 83642-4855
(208) 589-2898
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6283
ID
Other
Enumeration date
07/08/2009
Last updated
09/09/2009
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