Individual
DR. KENNETH J HELAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
980 W. IRONWOOD DR., SUITE 101, COEUR D' ALENE, ID 83814
(208) 765-1455
(208) 667-8655
Mailing address
980 W. IRONWOOD DR., SUITE 101, COEUR D' ALENE, ID 83814
(208) 765-1455
(208) 667-8655
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01057650A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
M10083
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200437840A
—
IN
Enumeration date
01/04/2006
Last updated
08/20/2021
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