KENNETH RAY LOWTHER

POCATELLO, ID
NPI1508148677
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  NP-1104A)
Enumeration Date2011-09-15
Last Update Date2013-08-09
Business Address
-- KENNETH RAY LOWTHER FNP-C
965 BERRYMAN RD UNIT A
POCATELLO, ID 83201-5572
Phone number: 208-221-6121
Mailing Address
-- KENNETH RAY LOWTHER FNP-C
965 BERRYMAN RD UNIT A
POCATELLO, ID 83201-5572
Phone number: 208-221-6121
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