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Individual

BRYCE JACOB KIRKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
520 S EAGLE RD STE 1243, MERIDIAN, ID 83642-6355
(208) 333-2225
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8752

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
BP10055694
TX
208100000X
Physical Medicine & Rehabilitation Physician
Primary
O-1701
ID
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/04/2016
Last updated
08/22/2022
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