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Individual

KALEN KNOPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
132 MAIN ST N, KIMBERLY, ID 83341
(208) 735-3938
(208) 734-0452
Mailing address
794 EASTLAND DR, TWIN FALLS, ID 83301-6856
(208) 734-3312

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1303
ID

Other

Enumeration date
09/30/2015
Last updated
04/08/2021
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