Individual
KYLE SOMSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-2121
Mailing address
PO BOX 3750, SALT LAKE CITY, UT 84110-3750
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
47717
ID
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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