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Individual

DR. KENNETH CONGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
495 FIRESTONE LN, SANDPOINT, ID 83864-7596
(208) 263-1060
Mailing address
PO BOX 572, KOOTENAI, ID 83840-0572
(208) 263-1060

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6472
MT

Other

Enumeration date
06/30/2006
Last updated
03/31/2016
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