Individual
KIRSTEN ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7677 W PORTNEUF RD, POCATELLO, ID 83204-7336
(208) 604-6260
Mailing address
241 N HAYES AVE APT 1, POCATELLO, ID 83204-3152
(540) 589-5904
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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