Individual
MS. KRISTINA J HARRINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5985 W STATE ST, BOISE, ID 83703-3039
(208) 853-0071
(208) 853-9422
Mailing address
5985 W STATE ST, BOISE, ID 83703-3039
(208) 853-0071
(208) 853-9422
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
M7142
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010002546
REGENCE BLUE SHIELD OF ID
ID
01
—
DX621
BLUE CROSS OF IDAHO
ID
Enumeration date
07/05/2006
Last updated
07/08/2007
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