Individual
KEVIN CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
2167 BITTERROOT DR, TWIN FALLS, ID 83301-3581
(208) 733-2475
Mailing address
2167 BITTERROOT DR, TWIN FALLS, ID 83301-3581
(208) 733-2475
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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