MICHAEL D KENNER MDPC NPI 1184824617

NPI Information

  • NPI: 1184824617
  • Provider Name: MICHAEL D KENNER, MD,PC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Other Name: NONE
  • Address: 1721 S 10TH AVE
    CALDWELL, ID
    ZIP 83605
  • Phone: (208) 453-1062

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NPI Details

MICHAEL D KENNER, MD,PC is a cardiovascular disease internal medicine in Caldwell, ID. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MICHAEL D KENNER, MD,PC NPI is 1184824617. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is None.

The provider's business location address is:

1721 S 10TH AVE
CALDWELL, ID
ZIP 83605-839
Phone: (208) 453-1062
Fax: (208) 453-1196

The provider's authorized official is Michael David Kenner .
The authorized official title is Doctor/owner and has the following contact phone number (208) 453-1062.

The enumeration date for this NPI number is 7/23/2007 and was last updated on 7/23/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E93142MEDICARE UPINIDAHO
21375355MEDICARE PINIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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