Individual
KIRK BIGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
425 W BANNOCK ST, BOISE, ID 83702-6035
(208) 343-6458
Mailing address
425 W BANNOCK ST, BOISE, ID 83702-6035
(208) 343-6458
(208) 343-5031
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
52212
MT
363A00000X
Physician Assistant
Primary
PA-2167
ID
Other
Enumeration date
05/03/2016
Last updated
04/10/2026
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