NPI age
16 years
Enumerated 2009-07-29
● Active
Type 1 · Individual
Kenon Kildew, N.P.
Kildew is 1 of 303 nurse practitioner providers in Boise and 1 of 1280 in Idaho.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID, MA
2 states
Status
Active
No deactivations on record
Last NPPES update
2019-08-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1280 active nurse practitioner providers in Idaho.
NPI age
16 years
↑ 9 yr above median (7 yr)
State licenses
2 states
Top 86% — 13% of peers are multi-state
Subspecialties
0
27% of peers hold subspecialties
NPI lifetime · 2009 → 2026
2009-07Enumerated in NPPES
2009
2026
Where they practice
Practice location
2402 W. Jefferson St.
Boise, ID 83702
Mailing address
2402 W. Jefferson St.
Boise, ID 83702
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 002002503 | MEDICARE |
| 05 (RI) | KK86131 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new nurse practitioner providers have been added in Boise in the last 180 days.
See all →
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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