Dr. Kenneth Todd Blackner , MD
General Practice • Shelley, ID
Professional Overview & Biography Verified Profile Summary
Dr. Kenneth Blackner, MD is a registered healthcare professional specializing in General Practice in Shelley, ID. Practice services are available at 275 W LOCUST ST under active NPI credentials.
Practice Location & Contact Primary Location
275 W Locust St
Shelley, ID 832741230
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Shelley, ID
Practicing in Shelley, ID (37 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 275 W LOCUST ST, SHELLEY, ID 832741230 (Tel: 2083573960)
Registered at 618 E 1450 N, SHELLEY, ID 832745078 (Tel: 7576173339)
Recorded as KENNETH BLACKNER, M.D.
General Practice (License #M-11785 in ID)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
618 E 1450 N
Shelley, ID 832745078
Phone: 7576173339
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.