Kenneth Wilhelm JR.
Endocrinologist (Diabetes Doctor)
4400 E Flamingo Ave
Nampa
, Idaho 83687-9203
Kenneth Wilhelm JR.
Endocrinologist (Diabetes Doctor)
4400 E Flamingo Ave
Nampa
, Idaho 83687-9203
(208) 463-3034
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About
Features
Specialties
- Endocrinologist (Diabetes Doctor)
Languages spoken
- English
Location
First Address
- Kenneth Wilhelm JR.
- 217 W Georgia Ave Suite 115
- Nampa, ID
- Zip : 83686-6811
- Fax : (208) 463-3034
- Phone : (208) 463-3000
Second Address
- Kenneth Wilhelm JR.
- 4400 E Flamingo Ave
- Nampa, ID
- Zip : 83687-9203
- Fax : (208) 288-4990
- Phone : (208) 288-4970
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | M9346 | ID |
National Provider Identifier
| NPI | 1053301416 |
|---|---|
| Provider Name | Kenneth Wilhelm JR. |
| First Address | Nampa, ID 83686-6811 |
| Second Address | Nampa, ID 83687-9203 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/10/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000010151677 | BLUE SHEILD (01) | ID |
| 75721 | BLUE CROSS (01) | ID |
| H89090 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.