Hainsworth, Kenneth M

Hainsworth, Kenneth M is an individual health care provider with primary practice located at 215 E Hawaii Ave Ste 260 , Nampa ID 83686-6011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Hainsworth, Kenneth M can be contacted via phone (208) 593-7199.

Contact Information

Primary practice address
215 E Hawaii Ave Ste 260 Nampa ID 83686-6011
Phone: (208) 593-7199
Fax: (208) 593-7195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X M8605 Idaho

Profile Details

NPI number 1942290929
LBN Legal business name Hainsworth, Kenneth M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Jun 12th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942290929 NPPES
Idaho MEDICAID 806365500
Idaho Other 48801
Idaho Other J6576
Idaho Other 000010138766
Idaho Other 180044930
Idaho Other 000010138765

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