SearchIdaho363L00000X

Sally Kupchock, NP

NPI 1063446094 · on the registry since 2006

Practice

Address
1182 E 21st St
Idaho Falls, ID 83404
Phone
(208) 227-6753

Registry record

Primary taxonomy
363L00000X
363L00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-11-30

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