Individual
MRS. MEGHANN ELAINE KALLIOKOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
201 S PARADISE AVE, MIDDLETON, ID 83644-5809
(208) 585-0048
(208) 466-5359
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 461-7149
(208) 467-3391
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
57422
ID
363LF0000X
Family Nurse Practitioner
Primary
57422
ID
Other
Enumeration date
12/13/2021
Last updated
04/26/2024
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