Individual
KAITLIN BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 E IDAHO ST STE 401, BOISE, ID 83712-6267
(208) 340-2953
Mailing address
2953 E WILDERNEST LN, BOISE, ID 83706
(208) 340-2953
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M-13754
ID
Other
Enumeration date
04/06/2014
Last updated
07/21/2022
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