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Search › Idaho › 101YM0800X

Rodney Kanikkeberg

NPI 1417308495 · on the registry since 2016

Practice

Address
317 W 6th St
Ste 208
Moscow, ID 83843
Phone
(208) 882-3504
Fax
(208) 882-3572
Organisation at this address
Scott Community Care, Plls
Scott Community Care, Pllc
Scott Community Care, Pllc
Helping Hand Family Services, Llc
Moscow Health And Wellness Center, P.L.L.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
31

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-06-30

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