# KOKKONEN P M AND R PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619451275
- **Authorized official:** JEREMY JUHANI KOKKONEN DO (OWNER)
- **Authorized official phone:** (801) 473-2261

## Contact information

- **Practice address:** 3372 E JENALAN, POST FALLS, ID 83854-7787
- **Practice address phone:** (801) 473-2261
- **Mailing address:** 2431 N HOWELL RD, POST FALLS, ID 83854-8201
- **Mailing address phone:** (801) 473-2261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/19/2018
- **Last updated:** 04/14/2023