Dr KENNETH M LIGHTHEART is a male medical professional, specializing in Cardiovascular Disease (cardiology). He graduated in 1994 from Oregon Health Sciences University School Of Medicine.
ST MARKS PROFESSIONAL SERVICES LLC
3100 CHANNING WAY
IDAHO FALLS
ID
834047533
Tel: 2085296111
| Npi | 1740290360 |
| Pac Id | 2365543600 |
| Professional Enrollment Id | I20160520000676 |
| Last Name | LIGHTHEART |
| First Name | KENNETH |
| Middle Name | M |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialty 1 | INTERNAL MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | INTERNAL MEDICINE |
| Organization Legal Name | ST MARKS PROFESSIONAL SERVICES LLC |
| Group Practice Pac Id | 1355248089 |
| Number Of Group Practice Members | 28 |
| Line 1 Street Address | 3100 CHANNING WAY |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 834047533 |
| Phone Number | 2085296111 |
| Hospital Affiliation Ccn 1 | 130018 |
| Hospital Affiliation Lbn 1 | EASTERN IDAHO REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 130025 |
| Hospital Affiliation Lbn 2 | MADISON MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 3 | 130065 |
| Hospital Affiliation Lbn 3 | MOUNTAIN VIEW HOSPITAL |
| Hospital Affiliation Ccn 4 | 530015 |
| Hospital Affiliation Lbn 4 | ST JOHNS MEDICAL CENTER |
| Hospital Affiliation Ccn 5 | 531313 |
| Hospital Affiliation Lbn 5 | STAR VALLEY MEDICAL CENTER |
| Professional Accepts Medicare Assignment | Y |
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