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1124067566
BRENT KENNER CHILDERS
BOISE, ID
NPI
1124067566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: ID MD6244)
Enumeration Date
2006-06-04
Last Update Date
2007-07-08
Business Address
-- BRENT KENNER CHILDERS MD
8800 W EMERALD ST
BOISE, ID 83704-8205
Phone number: 208-373-5000
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Mailing Address
-- BRENT KENNER CHILDERS MD
PO BOX 4008
PORTLAND, OR 97208-4008
Phone number: 503-372-2740
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