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Individual

DR. KENNETH HARARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
500 W FORT ST # 111R, BOISE, ID 83702-4599
(208) 422-1000
Mailing address
500 W FORT ST # 111R, BOISE, ID 83702-4599

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4971859
ID

Other

Enumeration date
03/21/2025
Last updated
05/31/2025
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