Kristina Kniffen, PN-14938

NPI 1225369820 · on the registry since 2010

Practice

Address: 717 Mission Rd
Fort Hall, ID 83203
Phone: (208) 238-2400
Fax: (208) 238-5462
Organisation at this address: Shoshone Bannock Tribes
Shoshone Bannock Tribes, Inc
Not-Tsoo Gah-Nee Indian Health Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 164W00000X
164W00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2010-01-21

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