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KENNETH BLACKNER, M.D.
M.D.
General Practice Physician
NPI: 1043339641Individual
Specialties, Licenses & Credentials
General Practice PhysicianPrimary
General Practice
Code: 208D00000X
0101240258(VA)M-11785(ID)
Contact & Hours
- Address
- 275 W LOCUST ST
SHELLEY, ID 83274 - Phone
- (208) 357-3960
Quick Facts
- NPI
- 1043339641
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
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