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Kenneth Kannenberg, CRNA

NPI 1174579692 · on the registry since 2006

Practice

Address: 1055 N Curtis Rd
Boise, ID 83706
Phone: (208) 367-6416
Organisation at this address: Cep America, Llc
St Alphonsus Reg Med
Boise Anesthesia, Pa
Boise Anesthesia, P A
Gem State Radiology Llp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 403

Registry record

Primary taxonomy: Certified Registered Nurse Anesthetist
367500000X
Also registered as: Registered Nurse
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-04-07

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