Search › Idaho › Surgical Physician Assistant
Polina Kokoulina, PA-C
NPI 1013342468 · on the registry since 2013
Practice
- Address
- 900 N Liberty St
Ste 101
Boise, ID 83704 - Phone
- (208) 367-5050
- Fax
- (208) 367-5151
- Organisation at this address
- Swient, Llc
Jeffrey B. Kesling, Dds
Mckim Surgery Center, Inc
Robert E Digrazia, Dds, Pa
Treasure Valley Cardiology PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 60
Registry record
- Primary taxonomy
- Surgical Physician Assistant
363AS0400X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-04-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho