IndividualActive
Colt Kennington
NPI 1386106268 · Psychiatry Physician · Caldwell, ID
Provider details
- NPI number
- 1386106268
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- O-1812 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1906 Fairview Ave Ste 220
Caldwell, ID 83605-5432
Phone: (208) 795-5072
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 277976
Atlanta, GA 30384-7976
Registry dates
- Enumerated
- 2019-04-01
- Last updated
- 2023-06-30
- Certified
- 2023-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.