SearchIdaho1041C0700X

Tye Killian, LCSW

NPI 1194134163 · on the registry since 2014

Practice

Address
890 N Cole Rd
Suite B
Boise, ID 83704
Phone
(208) 322-1026
Organisation at this address
Aces
Aces
Aces Inc.
Aces Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-03-22

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