Individual
DR. KURT J NILSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1109 W MYRTLE ST, SUITE 200, BOISE, ID 83702-6970
(208) 383-0201
(208) 489-4300
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
M8827
ID
Other
Enumeration date
06/30/2006
Last updated
10/30/2013
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