Healthcare Provider Details

I. General information

NPI: 1780754671
Provider Name (Legal Business Name): HOWARD M KENNEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3815 N SCHREIBER WAY UNIT 101
COEUR D ALENE ID
83815-8434
US

IV. Provider business mailing address

105 W 8TH AVE STE 6080
SPOKANE WA
99204-2313
US

V. Phone/Fax

Practice location:
  • Phone: 208-755-2804
  • Fax: 208-765-0277
Mailing address:
  • Phone: 509-838-6500
  • Fax: 509-838-6561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberMC-2267
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD00020548
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: