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1023039468
KENNETH M LITTLE
BOISE, ID
NPI
1023039468
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207T00000X Neurological Surgery
(Licence: ID M8861)
Enumeration Date
2006-07-21
Last Update Date
2012-12-29
Business Address
KENNETH M LITTLE MD
190 E BANNOCK ST 10TH FLOOR
BOISE, ID 83712-6241
Phone number: 208-381-5500
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Mailing Address
KENNETH M LITTLE MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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