NPI 1083753248

Wayne S Kenning, OTS

Practitioner Surgical Technologist Nampa, ID

Practice location

Address: 215 E Hawaii Avenue, Nampa, ID 83686
Phone: (208) 463-3000
Fax: (208) 463-3034
Mailing address: 217 W Georgia Suite 115, Nampa, ID 83686

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X Licence 971057 (ID)

Other Specialist/Technologist, Other providers in Idaho →

Registry record

NPI: 1083753248
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Feb 2007
Record last updated: 8 Jul 2007

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.