Taxonomy Code 208D00000X(208d00000x)
General Practice Physician. Providers: 1
General Practice Physician Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
M.D. Kenneth Todd Blackner |
Individual |
275 W Locust St Shelley, ID |
How to obtain, renew, or terminate an NPI
Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...
| Taxonomy Code | 208D00000X |
| Display Name | General Practice Physician |
| Taxonomy Group | Allopathic & Osteopathic Physicians |
| Taxonomy Classification | General Practice |
| Definition | Definition to come... |
| Effective Date | September 30, 2009 |