Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY LAREE KENWORTHY
ActiveMARY LAREE KENWORTHY is a Licensed Practical Nurse healthcare provider located in BOISE, Idaho. NPI 1487267266 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · BOISE, ID
Registration Details
- NPI Number
- 1487267266
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 31, 2020 (5.9718396436177 yrs)
- Last Updated
- Aug 31, 2020
- Licenses
-
8104 (ID)PN8104 (ID)
Practice Information
- Address
-
500 W FORT ST BLDG 88BOISE, ID, 837024598Browse ID providers · Browse ZIP 83702
- Phone
- 2084221000
- Fax
- 2084221591
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
- Additional Specialty
- Licensed Practical Nurse
Other Licensed Practical Nurse Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| MRS. TONIA C GRANTHAM | LPN | 1295994648 |
| MRS. FRANCES MARIE LOVELY | LPN | 1336399021 |
| MARCEY LOUISE WAUGH | LPN | 1457974669 |
| DOLLIE L BLACK | — | 1427671684 |
| JAN DRAKE | LPN | 1841815149 |
| MANDIE MARIE PHILLIPS | LPN | 1104434950 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.