SearchIdaho225100000X

Khristopher Korell

NPI 1336433184 · on the registry since 2011

Practice

Address
2635 Caldwell Blvd
Suite B
Nampa, ID 83651
Phone
(208) 442-0577
Fax
(208) 442-7455
Organisation at this address
Therapeutic Associates Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-11-16

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