Whalio Doctors

NPI 1497953459

Kent W. Davis, MD

Practitioner Otolaryngology Physician Idaho Falls, ID

Practice location

Address
3869 Canterbury Way, Idaho Falls, ID 83404-7971
Phone
(208) 523-1652

Registered specialties

Otolaryngology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence M-5823 (ID)

Registry record

NPI
1497953459
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Jul 2007
Record last updated
10 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.