Individual
LEE M KORNFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 W ROBBINS RD, SUITE 301, BOISE, ID 83702-4565
(208) 489-4990
(208) 489-4070
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
(208) 489-4070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M4324
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000243100
—
ID
Enumeration date
09/07/2005
Last updated
10/21/2014
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