OrganizationActive
Michael D Kenner, Md,pc
NPI 1184824617 · Cardiovascular Disease Physician · Caldwell, ID
Provider details
- NPI number
- 1184824617
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Kenner, Doctor/Owner(208) 453-1062
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1721 S 10th Ave
Caldwell, ID 83605-4839
Phone: (208) 453-1062
Fax: (208) 453-1196
Approximate (ZIP-level) locationGet directions
Mailing address
1721 S 10th Ave
Caldwell, ID 83605-4839
Other names (DBA / former)
- Other name
- None
Registry dates
- Enumerated
- 2007-07-23
- Last updated
- 2007-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.