Individual
KIMBERLY NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
700 E AVALON ST, KUNA, ID 83634-2140
(208) 922-9834
Mailing address
110 NE NARROWS ST, MOUNTAIN HOME, ID 83647-3702
(208) 922-9834
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6381914
ID
Other
Enumeration date
07/14/2026
Last updated
07/14/2026
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