NPI 1023582947
Kenneth Clark Stratton, CRNA
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
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.