Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH EDWARD SQUIRES III, D.O.
ActiveKENNETH EDWARD SQUIRES III, D.O. is a Psychiatry healthcare provider located in BOISE, Idaho. NPI 1649706326 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · BOISE, ID
Registration Details
- NPI Number
- 1649706326
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 2, 2017 (9.3283418191177 yrs)
- Last Updated
- May 15, 2024
- Licenses
-
PG183059 (OR)O-1978 (ID)
Practice Information
- Address
-
6348 W EMERALD STBOISE, ID, 837048732Browse ID providers · Browse ZIP 83704
- Phone
- 2083020900
- Fax
- 2083020955
- Primary Specialty
-
Psychiatry
2084P0800X
- Additional Specialty
- Psychiatry
Other Psychiatry Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| ALEX PETER BORMANN | M.D. | 1477547370 |
| DR. STEPHEN THOMAS BUSHI | M.D. | 1356336648 |
| BARBARA J. HAGEN | MD | 1043206683 |
| RICHARD H RINEHART | MD | 1952391674 |
| RAJASEKHAR KISHORE VALMIKI | MD | 1518926328 |
| DR. GARY FALK | M.D. | 1033169362 |
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.