Individual
MR. RAYMOND KEITH MCKIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2023 12TH AVE RD, NAMPA, ID 83686-6311
(208) 467-5756
(208) 467-1368
Mailing address
2023 12TH AVE RD, NAMPA, ID 83686-6311
(208) 467-5756
(208) 467-1368
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
CHIA-459
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002702400
—
ID
Enumeration date
04/11/2006
Last updated
07/08/2007
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