Individual
DEREK EARL KYGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
3525 E LOUISE DR STE 500, MERIDIAN, ID 83642-6305
(208) 706-7050
Mailing address
3525 E LOUISE DR STE 500, MERIDIAN, ID 83642-6305
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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