Individual
KIRSTY LYNN HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
90 HOPE DR, 366TH MEDICAL GROUP, MOUNTAIN HOME AFB, ID 83648-1057
(208) 828-6806
Mailing address
90 HOPE DR, 366TH MEDICAL GROUP, MOUNTAIN HOME AFB, ID 83648-1057
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
03/14/2018
Last updated
01/20/2026
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