Individual
KENNETH ALLEN DENGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3716 W CAMAS ST, BOISE, ID 83705-2229
(208) 794-1884
Mailing address
3716 W CAMAS ST, BOISE, ID 83705-2229
(208) 794-1884
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
ID
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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