Individual
DR. KERRI DIANNE TRAINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-5170
(208) 367-5180
Mailing address
PO BOX 7411114, CHICAGO, IL 60674-1114
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0286
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050090361
RAILROAD MEDICARE
ID
05
—
806443500
—
ID
Enumeration date
12/05/2005
Last updated
10/02/2023
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