Individual
KENNETH NYE WEYBRIGHT II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6687 W WINSTON LN APT 102, BOISE, ID 83704-5120
(208) 571-0463
Mailing address
6687 W WINSTON LN APT 102, BOISE, ID 83704-5120
(208) 571-0463
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
54067
ID
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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