KENNETH GEORGE KHATAIN

BOISE, ID
NPI1265443527
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology Psychiatry
(Licence: ID  M6592)
Enumeration Date2006-08-11
Last Update Date2007-07-08
Business Address
DR. KENNETH GEORGE KHATAIN M.D.
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1108
Mailing Address
DR. KENNETH GEORGE KHATAIN M.D.
6168 S SCHOONER PL
BOISE, ID 83716-9084
Phone number: 208-422-1108