Kenneth Kannenberg, CRNA
NPI 1174579692 · Certified Registered Nurse Anesthetist · Boise, ID
Kenneth Kannenberg, CRNA is a Certified Registered Nurse Anesthetist provider in Boise, ID (NPI 1174579692).
Provider details
- NPI number
- 1174579692
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- N27389 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-26
- Last updated
- 2011-04-07
Frequently asked questions
- What is Kenneth Kannenberg's NPI number?
- Kenneth Kannenberg's National Provider Identifier (NPI) is 1174579692, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Kannenberg's specialty?
- Kenneth Kannenberg is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kenneth Kannenberg located?
- Kenneth Kannenberg's practice location on file with NPPES is 1055 N Curtis Rd, Boise, ID 83706-1352.
- What is Kenneth Kannenberg's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Kannenberg is (208) 367-6416.
- Is Kenneth Kannenberg's NPI active?
- Yes — Kenneth Kannenberg's NPI (1174579692) is active in the NPPES registry as of the last update on 2011-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.