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MARY LAREE KENWORTHY
NPI 1487267266
Licensed Practical Nurse in Boise, ID

Active since August 31, 2020
500 W FORT ST BLDG 88, BOISE, ID 83702(208) 422-1000(208) 422-1591 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Laree Kenworthy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY LAREE KENWORTHY (NPI 1487267266) is an individual licensed practical nurse in Boise, Idaho, licensed in Idaho (PN8104) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1487267266
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMARY LAREE KENWORTHY
Location Address500 W FORT ST BLDG 88Boise, ID 83702-4598
Mailing Address500 W Fort St Bldg 88Boise, ID 83702-4598 · (208) 422-1000 · Fax (208) 422-1591
Phone(208) 422-1000
Fax(208) 422-1591
Sole ProprietorNo
Enumeration DateAugust 31, 2020
NPPES CertifiedAugust 31, 2020
✔ NPI 1487267266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
Licenses✔ Licensed in ID · PN8104✔ Licensed in ID · 8104
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

500 W FORT ST BLDG 88, Boise, ID 83702
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Kenworthy's NPI number?

The NPI number for Mary Kenworthy is 1487267266. It was assigned to this individual provider in the NPPES registry on August 31, 2020.

Where is Mary Kenworthy located?

Mary Kenworthy practices at 500 W Fort St Bldg 88, Boise, ID 83702. The listed phone number is (208) 422-1000.

What is Mary Kenworthy's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Mary Kenworthy was last updated on August 31, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.