Individual
MRS. KIM B BRIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-A
Contact information
Practice address
3345 MERLIN DR, STE 200, IDAHO FALLS, ID 83404-7405
(208) 529-1514
(208) 529-3170
Mailing address
3345 MERLIN DR, STE 200, IDAHO FALLS, ID 83404-7405
(208) 529-1514
(208) 529-3170
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD-1095
ID
231HA2400X
Assistive Technology Practitioner Audiologist
HA-1030
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807202100
—
ID
Enumeration date
09/20/2006
Last updated
07/31/2019
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