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Mark A Kennington, DC

Chiropractor in Blackfoot, ID. Individual provider (NPI-1).

NPI number1417618596
StatusActive
Last updated in NPPESJan 26, 2026

Details

NPI
1417618596
Entity type
Individual (NPI-1)
Name
Mark A Kennington
Credential
DC
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 31, 2021
Certification date
Jan 26, 2026
Last updated
Jan 26, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X ChiropractorCHIA-2344IDYes

Practice location

246 W Pacific St Ste C
Blackfoot, ID 83221-1723

Phone 208-557-1113

Mailing address

246 W Pacific St Ste C
Blackfoot, ID 83221-1723

Phone 208-557-1113

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