Search › Idaho › 183500000X
Kenneth Dirk, PHARMD,MBA
NPI 1447478151 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1219 Broadway Ave
Boise, ID 83706 - Phone
- (208) 433-9905
- Fax
- (208) 433-9907
Registry record
- Primary taxonomy
- 183500000X
183500000X
- 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