Search › Idaho › 152W00000X
Shane Kinzer, OD
NPI 1427755511 · on the registry since 2023
Practice
- Address
- 1844 W Pullman Rd
Moscow, ID 83843 - Phone
- (208) 883-1800
- Organisation at this address
- Wilson Polito Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-19
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