SearchIdaho2083S0010X

Bruce Kahl, ATHLETIC TRAINER

NPI 1508472309 · on the registry since 2020 · sole proprietor

Practice

Address
574 N Park Ln
Eagle, ID 83616
Phone
(208) 350-4235

Registry record

Primary taxonomy
2083S0010X
2083S0010X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-09-17

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