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1265443527
KENNETH GEORGE KHATAIN
BOISE, ID
NPI
1265443527
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: ID M6592)
Enumeration Date
2006-08-11
Last Update Date
2007-07-08
Business Address
Dr. KENNETH GEORGE KHATAIN M.D.
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1108
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Mailing Address
Dr. KENNETH GEORGE KHATAIN M.D.
6168 S SCHOONER PL
BOISE, ID 83716-9084
Phone number: 208-422-1108
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