Titus Kener
Titus Kener is a Nurse Practitioner in Pocatello, Idaho. Qualified in 2017, 9 years ago. Practices with Mvh Pic LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 9
- Licensed in
- ID
- In the registry since
- 2017
Practice location Address checks out
1200 Hospital WayPocatello, ID 83201-2708
Phone: (208) 232-2570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 55627 (ID) |
|---|
Record details
| NPI number | 1356876551 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 25, 2017 |
| Last updated in NPPES | April 25, 2017 |
| Mailing address | 5970 Ruth St, Chubbuck, ID 83202-2079 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Mvh Pic Llc — 16 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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