Individual
KACI KYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 W STATE ST, BOISE, ID 83702-4040
(208) 344-8660
(208) 343-1343
Mailing address
1650 W STATE ST, BOISE, ID 83702-4040
(208) 344-8660
(208) 343-1343
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CT34002
ID
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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