SearchIdaho106H00000X

Matthew Kam

NPI 1457646895 · on the registry since 2011

Practice

Address
4650 Hawthorne Rd Ste 3b
Chubbuck, ID 83202
Phone
(208) 252-5621
Fax
(208) 648-4167
Organisation at this address
Seasons Of Hope
Seasons Of Hope
Seasons Of Hope
Seasons Of Hope Llc
Seasons Of Hope, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
30

Additional practice sites

  • 1333 Iris Ave, Boulder, CO

Registry record

Primary taxonomy
106H00000X
106H00000X
Also registered as
101YM0800X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-04-12

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