Mary Laree Kenworthy is a licensed practical nurse in Boise, ID. The provider is an individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Mary Laree Kenworthy NPI is 1487267266. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
500 W FORT ST BLDG 88
BOISE, ID
ZIP 83702-598
Phone: (208) 422-1000
Fax: (208) 422-1591
The enumeration date for this NPI number is 8/31/2020 and was last updated on 8/31/2020.