Individual
MARK A KENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
246 W PACIFIC ST STE C, BLACKFOOT, ID 83221-1723
(208) 557-1113
Mailing address
246 W PACIFIC ST STE C, BLACKFOOT, ID 83221-1723
(208) 557-1113
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-2344
ID
Other
Enumeration date
12/31/2021
Last updated
01/26/2026
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