Individual
DR. KENDALL CRAIG WILLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2990 S 25TH E, IDAHO FALLS, ID 83404-6515
(833) 776-2020
Mailing address
3485 N COLE RD UNIT 45479, BOISE, ID 83711-1095
(208) 954-9106
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007801
NY
Other
Enumeration date
09/04/2010
Last updated
01/05/2023
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