Individual
MR. KYLE SPENCER CONGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1202 E LOCUST ST, EMMETT, ID 83617-2715
(208) 901-3287
(208) 365-3572
Mailing address
11360 W BLUE FOX ST, BOISE, ID 83709-6917
(801) 347-0160
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
51549
ID
163WE0003X
Emergency Registered Nurse
Primary
51549
ID
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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