Search › Idaho › 183700000X
Kevin Daffer
NPI 1558270017 · on the registry since 2026 · sole proprietor
Practice
- Address
- 305 W Quinn Rd # 1033b
Pocatello, ID 83201 - Phone
- (775) 513-3244
Registry record
- Primary taxonomy
- 183700000X
183700000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-02
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