NPI 1376100438

Kenneth Woodward

Practitioner Community Health Worker Nampa, ID

Practice location

Address: 204 10th Ave S, Nampa, ID 83651-3832
Phone: (208) 466-2229
Fax: (208) 466-2667

Registered specialties (4)

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Registry record

NPI: 1376100438
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 May 2019
Record last updated: 21 Oct 2025

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.