Whalio Doctors

NPI 1023582947

Kenneth Clark Stratton, CRNA

Practitioner Certified Registered Nurse Anesthetist Boise, ID

Practice location

Address
1055 N Curtis Rd, Boise, ID 83706-1309
Phone
(208) 367-2559
Mailing address
PO Box 3750, Salt Lake City, UT 84110-3750

Registered specialties

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 60377 (ID)

Registry record

NPI
1023582947
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Jan 2019
Record last updated
14 Jan 2019

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.