NPI 1104419084
Kenton Woo
Practice location
- Address
- 801 Pole Line Rd W, Twin Falls, ID 83301-5810
- Phone
- (208) 814-1000
- Mailing address
- 631 Saratoga Dr APT 203, Twin Falls, ID 83301-4572
Registered specialties
Speech-Language Pathologist
Primary
Registry record
- NPI
- 1104419084
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Feb 2021
- Record last updated
- 11 Feb 2021
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.