COLT KENNINGTON

CALDWELL, ID
NPI1386106268
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: ID  O-1812)
Enumeration Date2019-04-01
Last Update Date2023-06-30
Business Address
COLT KENNINGTON
1906 FAIRVIEW AVE STE 220
CALDWELL, ID 83605-5432
Phone number: 208-795-5072
Mailing Address
COLT KENNINGTON
PO BOX 277976
ATLANTA, GA 30384-7976
Phone number:
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