Individual
REILLY KINKADE OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8620 W EMERALD ST STE 150, BOISE, ID 83704-4839
(208) 617-3265
(208) 617-3270
Mailing address
2097 W FIELDSTREAM DR, MERIDIAN, ID 83646-4274
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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