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Individual

ROBERT KINGHORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
115 FALLS AVE W, TWIN FALLS, ID 83301-3115
(208) 734-7362
(208) 733-9463
Mailing address
PO BOX 1657, TWIN FALLS, ID 83303-1657
(208) 734-7362
(208) 733-9463

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
N-15840
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004372800
ID
Enumeration date
11/06/2006
Last updated
07/16/2014
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