Individual
KAYDEEN BURKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6094 W EMERALD ST, BOISE, ID 83704-8855
(208) 514-2512
(208) 375-2217
Mailing address
6094 W EMERALD ST, BOISE, ID 83704-8855
(208) 514-2512
(208) 375-2217
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5150
ID
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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