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Search › Idaho › 1041C0700X

Kenneth Minnix, LCSW

NPI 1386780161 · on the registry since 2007

Practice

Address
1600 John Adams Pkwy
Idaho Falls, ID 83401
Phone
(208) 529-5276
Fax
(208) 529-6506
Organisation at this address
Lds Family Services
Lds Family Services
Eubanks Enterprises Inc
Elevated Healing Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
1041C0700X
1041C0700X
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