Search › Idaho › 1223G0001X
Kenneth Stevens, DDS
NPI 1114131315 · on the registry since 2007
Practice
- Address
- 815 N 6th E
Mountain Home, ID 83647 - Phone
- (208) 587-7949
- Fax
- (208) 587-2978
- Organisation at this address
- Boise Vamc
Dental Center P.L.L.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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