BENJAMIN T KERNS

BOISE, ID
NPI1659388783
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-569)
Enumeration Date2006-08-02
Last Update Date2011-03-10
Business Address
-- BENJAMIN T KERNS PA
703 S AMERICANA BLVD SUITE 120
BOISE, ID 83702-5099
Phone number: 208-323-2600
Mailing Address
-- BENJAMIN T KERNS PA
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-323-2600