TITUS KENER

POCATELLO, ID
NPI1356876551
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  55627)
Enumeration Date2017-04-25
Last Update Date2017-04-25
Business Address
-- TITUS KENER
1200 HOSPITAL WAY
POCATELLO, ID 83201-2708
Phone number: 208-232-2570
Mailing Address
-- TITUS KENER
5970 RUTH ST
CHUBBUCK, ID 83202-2079
Phone number: 208-241-7517
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