Kent Quickstad, RPH

NPI 1699954081 · on the registry since 2007 · sole proprietor

Practice

Address: 190 E Bannock St
Boise, ID 83712
Phone: (208) 381-2490
Fax: (208) 381-4501
Organisation at this address: St. Lukes
Picu Associates, Llc
St. Luke'S Children'S
St. Luke'S Health System
Boise Pathology Group P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 695

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-11-01

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