Individual
KENNETH EDWARD SQUIRES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6348 W EMERALD ST, BOISE, ID 83704-8732
(208) 302-0900
(208) 302-0955
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
O-1978
ID
2084P0800X
Psychiatry Physician
PG183059
OR
Other
Enumeration date
05/02/2017
Last updated
05/15/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us