SearchIdaho224Z00000X

Kirsten Wallin

NPI 1619398351 · on the registry since 2013 · sole proprietor

Practice

Address
979 E Ensolorado St
Kuna, ID 83634
Phone
(208) 412-7991

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-12-24

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