CHILDRENS KIDNEY SPECIALISTS PLLC
Medical Practice at Idaho St, Boise, ID

License number
Idaho M6943
Category
Medical Practice
Type
Pediatric Nephrology
Owner
Name: DR. RANDALL JENKINS MD
Title: DOCTOR
Phone: (208) 381-7336
Address
Address 2
100 E Idaho St, Boise, ID 83712
1935 NW Norfolk Ct, Portland, OR 97229
National Provider ID: 1700088002
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CHILDRENS KIDNEY SPECIALISTS PLLC at bizstanding.com

CHILDREN'S KIDNEY SPECIALISTS, PLLC

100 E Idaho STE 304, Boise, ID 83712

Status:
Inactive
Registration:
Jul 30, 1999
Inactive since:
Dec 2, 2002
State ID:
W9443
Business type:
LIMITED LIABILITY COMPANY
Agent:
Ron Jenkins,471 Ravenwood Dr, Sandpoint, ID 83864 (Physical)

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