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1659388783
BENJAMIN T KERNS
BOISE, ID
NPI
1659388783
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-569)
Enumeration Date
2006-08-02
Last Update Date
2011-03-10
Business Address
-- BENJAMIN T KERNS PA
703 S AMERICANA BLVD SUITE 120
BOISE, ID 83702-5099
Phone number: 208-323-2600
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Mailing Address
-- BENJAMIN T KERNS PA
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-323-2600
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