SearchIdaho207P00000X

Tara Kenny

NPI 1477916310 · on the registry since 2016

Practice

Address
3080 E Gentry Way Ste 210
Meridian, ID 83642
Phone
(208) 810-2309
Organisation at this address
Lyon Medical Llc
Blackmer Podiatry
Nova Collective Llc
Lost River Wellness
Bluebird Hospice, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Additional practice sites

  • 3181 Sw Sam Jackson Park Rd, Portland, OR

Registry record

Primary taxonomy
207P00000X
207P00000X
Also registered as
390200000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-06-20

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