NPI 1023039468

Kenneth M Little, MD

Practitioner Neurological Surgery Physician Boise, ID

Practice location

Address: 190 E Bannock St 10th Floor, Boise, ID 83712-6241
Phone: (208) 381-5500
Fax: (208) 381-2555
Mailing address: 190 E Bannock St, Boise, ID 83712-6241

Registered specialties

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence M8861 (ID)

Other Neurological Surgery providers in Idaho →

Registry record

NPI: 1023039468
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jul 2006
Record last updated: 29 Dec 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.