Wayne S Kenning, OTS
Specialist/Technologist, Other, Surgical Technologist in Nampa, ID. Individual provider (NPI-1).
NPI number1083753248
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1083753248
- Entity type
- Individual (NPI-1)
- Name
- Wayne S Kenning
- Credential
- OTS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 5, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZS0410X | Specialist/Technologist, Other, Surgical Technologist | 971057 | ID | Yes |
Practice location
215 E Hawaii AvenueNampa, ID 83686
Phone 208-463-3000 · Fax 208-463-3034
Mailing address
217 W GeorgiaSuite 115
Nampa, ID 83686
Phone 208-463-3000 · Fax 208-463-3034
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