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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELIZABETH ANN KLEWENO, M.D.

Active

Pediatrics · BOISE, ID

Registration Details

NPI Number
1902017338
Provider Type
Individual
Gender
Female
NPI Issued
May 25, 2007 (18.969127243923 yrs)
Last Updated
Jan 7, 2020
Licenses
M12210 (ID)
M12210 (ID)

Practice Information

Address
190 E BANNOCK ST
BOISE, ID, 83712
Browse ID providers · Browse ZIP 83712
Phone
2083812222
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics

Other Pediatrics Providers in BOISE, ID

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.