COLT KENNINGTON
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Psychiatry
Provider Information
- NPI Number
1386106268- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1906 FAIRVIEW AVE STE 220, CALDWELL, ID, 836055432
- Phone
- (208) 795-5072
Specialties & Taxonomies
Psychiatry & Neurology, Psychiatry
Primary License: ID #O-1812
All Addresses
MAILING
PO BOX 277976
ATLANTA, GA, 303847976