Individual
KENYA EVE KNUDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2265 W BROADWAY ST, IDAHO FALLS, ID 83402-2996
(208) 524-7400
(208) 524-8004
Mailing address
2265 W BROADWAY ST, IDAHO FALLS, ID 83402-2996
(208) 524-7400
(208) 524-8004
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
ID
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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