Wilhelm, Kenneth
Wilhelm, Kenneth is an individual health care provider with primary practice located at 4400 E Flamingo Ave , Nampa ID 83687-9203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Wilhelm, Kenneth can be contacted via phone (208) 288-4970.Contact Information
Primary practice address
4400 E Flamingo Ave
Nampa ID 83687-9203
Phone: (208) 288-4970
Fax: (208) 288-4990
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | M9346 | Idaho |
Profile Details
NPI number | 1053301416 |
---|---|
LBN Legal business name | Wilhelm, Kenneth |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 26th, 2005 |
Last updated | Jul 8th, 2007 - about 18 years 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053301416 | NPPES |
Idaho | Other | 75721 | BLUE CROSS |
Idaho | Other | 000010151677 | BLUE CROSS |
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