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Organization
NORTHWEST PHYSICAL MEDICINE AND REHABILITATION PLLC
Active
Organization
NORTHWEST PHYSICAL MEDICINE AND REHABILITATION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN R KRAFFT M.D. (M.D.)
(208) 327-5650
Entity
Organization
Contact information
Practice address
6140 W CURTISIAN AVE, SUITE 400, BOISE, ID 83704-8880
(208) 327-5650
(208) 367-2968
Mailing address
6140 W CURTISIAN AVE, SUITE 400, BOISE, ID 83704-8880
(208) 327-5650
(208) 367-2968
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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