Kenneth Dirk is a Pharmacist in Boise, Idaho. Kenneth Dirk practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Kenneth Dirk is 1447478151. The last update date is 2007-07-08.
Kenneth Dirk's current location address is 1219 Broadway Ave, Boise, Idaho. You can contact this provider via phone number 2084339905 and fax number 2084339907. The mailing address for Kenneth Dirk is 1219 Broadway Ave, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Dirk |
|---|---|
| Address | 1219 Broadway Ave, Boise, Idaho |
| Phone Number | 2084339905 |
| Fax Number | 2084339907 |
| Sole Proprietor | Y |
| Credentials | PHARMD,MBA |
NPI Number Detail
| NPI Number | 1447478151 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1219 Broadway Ave |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837063701 |
| Phone Number | 2084339905 |
| Fax Number | 2084339907 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | P5175 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Post Comment/ Review Below
What is the Kenneth Dirk's unique identification number?
The Kenneth Dirk has been assigned the NPI (National Provider Identifier) Number 1447478151 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Kenneth Dirk is located?
The Kenneth Dirk is situated at the following address: 1219 Broadway Ave, Boise, ID, 837063701.
What is Kenneth Dirk's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kenneth Dirk is Pharmacist, and the taxonomy code that categorizes this field of expertise is 183500000X.
When was the Kenneth Dirk's 1447478151 issued?
The Kenneth Dirk's 1447478151 was issued on 2007-04-20.
As of what date was the information regarding Kenneth Dirk, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kenneth Dirk, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.