Organization
KYLE L. PALMER, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE L PALMER M.D. (OWNER)
(208) 884-8300
Entity
Organization
Contact information
Practice address
3875 EAST OVERLAND ROAD, MERIDIAN, ID 83642
(208) 884-8300
Mailing address
3875 EAST OVERLAND ROAD, MERIDIAN, ID 83642
(208) 884-8300
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M5987
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804142100
—
ID
Enumeration date
05/17/2007
Last updated
01/20/2010
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