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

Kenneth R Boren, MD

Individual provider Nephrology Physician · NPI 1043205511

Kenneth R Boren, MD is a Nephrology Physician in Mesa, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4040 E McLellan Rd Unit 11
Mesa, AZ 85205-3105
Phone: (480) 229-2829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 12288 (AZ)

Record details

NPI number1043205511
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 12, 2005
Last updated in NPPESAugust 11, 2020
Certification dateAugust 11, 2020

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