Individual
KENNETH SWAIM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
204 10TH AVE S, NAMPA, ID 83651-3832
(208) 461-6523
(208) 461-9130
Mailing address
204 10TH AVE S, NAMPA, ID 83651-3832
(208) 461-6523
(208) 461-9130
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA1010
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806486100
—
ID
Enumeration date
06/04/2006
Last updated
07/08/2007
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