Search › Idaho › 225X00000X
Kiley Petencin
NPI 1639810823 · on the registry since 2022
Practice
- Address
- 1460 Elk Creek Dr
Idaho Falls, ID 83404 - Phone
- (208) 535-1286
- Clinicians at this address
- 74
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 225X00000X
- Licence states on file
- ID, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-27
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