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Search › Idaho › 183700000X

Ken Dietz

NPI 1033777990 · on the registry since 2019 · sole proprietor

Practice

Address
20 E Fairview Ave
Meridian, ID 83642
Phone
(208) 888-4414
Organisation at this address
Albertsons Llc
1918 Winter Street Operating Co Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
183700000X
183700000X
Sex
Male
Record last updated
2019-06-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho