Individual
KIRK DOERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
11658 VIRGINIA PKWY, CALDWELL, ID 83605-7928
(208) 550-4784
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
64316
ID
163WM0705X
Medical-Surgical Registered Nurse
Primary
64316
ID
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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