Kevin Pendlebury, CDE

NPI 1528209129 · on the registry since 2009

Practice

Address: Mission Rd
Fort Hall, ID 83203
Phone: (208) 238-2400
Fax: (208) 238-5462
Organisation at this address: Not Tsoo Gah Nee Indian Health
Fort Hall Indian Health Services
Not Tsoo Gah Nee Indian Health Services
Not-Tsoo Gah-Nee Indiane Health Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 163WD0400X
163WD0400X
Also registered as: 163W00000X
Licence states on file: ID, IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-03-12

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