Organization Active NPI

Kootenai Kids Pediatrics PLLC

  • Pediatric Adolescent Medicine Physician
  • Post Falls, ID
National Provider Identifier
1053675629
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
KOOTENAI KIDS PEDIATRICS PLLC
Practice address
761 N Thornton St
Ste a
Post Falls, ID 83854-6105
Phone
(208) 773-5437
NPI assigned
Jun 28, 2012
Last updated
Jun 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kenneth Akey, MD
Title
Owner/Physician
Phone
(208) 773-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X Primary

Addresses

Primary practice location

761 N Thornton St
Ste a
Post Falls, ID 83854-6105

Mailing address

761 N Thornton St
Ste a
Post Falls, ID 83854-6105
Phone (208) 773-5437

National Provider Directory

National Provider Directory

Locations

761 N Thornton St
Ste A
Post Falls, ID 83854
Phone (208) 640-1737

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1053675629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 N THORNTON ST",
            "address_2": "STE A",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546105",
            "telephone_number": "208-773-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 N THORNTON ST",
            "address_2": "STE A",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546105",
            "telephone_number": "208-773-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOOTENAI KIDS PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "AKEY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "208-773-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.