Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Childrens Kidney Specialists PLLC

Organization Pediatric Nephrology Physician · NPI 1700088002

Childrens Kidney Specialists PLLC is a Pediatric Nephrology Physician in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 E Idaho St 200
Boise, ID 83712-6223
Phone: (208) 381-7336
Fax: (208) 381-7495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nephrology Physician (primary) Taxonomy 2080P0210X · Licence M6943 (ID)

Record details

NPI number1700088002
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randall Jenkins — Doctor · (208) 381-7336
NPI enumeratedMay 31, 2007
Last updated in NPPESJune 20, 2012
Mailing address1935 Nw Norfolk Ct, Portland, OR 97229-8448

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