TARA KENNY

MERIDIAN, ID
NPI1477916310
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: ID  M-14731)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-03-29
Last Update Date2019-06-20
Business Address
TARA KENNY
3080 E GENTRY WAY STE 210
MERIDIAN, ID 83642-3013
Phone number: 208-810-2309
Mailing Address
TARA KENNY
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: