Search › Idaho › 1223P0300X
Keaton Nicholson
NPI 1902749864 · on the registry since 2026
Practice
- Address
- 140 E Boise Ave
Boise, ID 83706 - Phone
- (208) 385-9228
- Organisation at this address
- Stephen A. Morris
Periodontal Health Specialists Of IdahoInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 1223P0300X
1223P0300X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-17
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