Kenneth Craig Minnix in Idaho Falls - Clinical
Kenneth Craig Minnix - NPI 1386780161
Kenneth Craig Minnix is a Clinical in Idaho Falls, Idaho. Kenneth Craig Minnix practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kenneth Craig Minnix is 1386780161. The last update date is 2007-07-08.
Kenneth Craig Minnix's current location address is 1600 John Adams Pkwy, Idaho Falls, Idaho. You can contact this provider via phone number 2085295276 and fax number 2085296506. The mailing address for Kenneth Craig Minnix is 1600 John Adams Pkwy, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Craig Minnix |
|---|---|
| Address | 1600 John Adams Pkwy, Idaho Falls, Idaho |
| Phone Number | 2085295276 |
| Fax Number | 2085296506 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1386780161 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1600 John Adams Pkwy |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834014300 |
| Phone Number | 2085295276 |
| Fax Number | 2085296506 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW-434 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Kenneth Craig Minnix?
The Kenneth Craig Minnix has been issued the NPI (National Provider Identifier) 1386780161 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Kenneth Craig Minnix is physically located?
The Kenneth Craig Minnix is physically situated at the following address: 1600 John Adams Pkwy, Idaho Falls, ID, 834014300.
What is Kenneth Craig Minnix's area of expertise and its corresponding taxonomy classification?
The Kenneth Craig Minnix's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1386780161 assigned to Kenneth Craig Minnix?
The Kenneth Craig Minnix was issued its 1386780161 on 2007-01-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Kenneth Craig Minnix most recently updated or revised?
The details related to Kenneth Craig Minnix, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL