Organization
POCATELLO REHABILITATION PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN S. HILL M.D. (PRESIDENT)
(208) 234-1984
Entity
Organization
Contact information
Practice address
500 S 11TH AVE STE 201, POCATELLO, ID 83201-4878
(208) 234-1984
(208) 234-1987
Mailing address
500 S 11TH AVE STE 201, POCATELLO, ID 83201-4878
(208) 234-1984
(208) 234-1987
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M5852
ID
Other
Enumeration date
10/26/2006
Last updated
08/22/2020
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