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

Mary Laree Kenworthy

Individual provider Licensed Practical Nurse · NPI 1487267266

Mary Laree Kenworthy is a Licensed Practical Nurse in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2020.

Licensed in
ID
In the registry since
2020
Specialties on file
2

Practice location Address checks out

500 W Fort St Bldg 88
Boise, ID 83702-4598
Phone: (208) 422-1000
Fax: (208) 422-1591
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence PN8104 (ID)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 8104 (ID)

Record details

NPI number1487267266
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 31, 2020
Last updated in NPPESAugust 31, 2020
Certification dateAugust 31, 2020

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