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

Tara Kenny

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477916310

Tara Kenny is a Student in an Organized Health Care Education/Training Program in Meridian, Idaho. Works from 2 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

3080 E Gentry Way Ste 210
Meridian, ID 83642-3013
Phone: (208) 810-2309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 — (503) 494-8211

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence M-14731 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1477916310
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 29, 2016
Last updated in NPPESJune 20, 2019
Mailing address3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011

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