Individual
RYAN D KAINRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
90 HOPE DR, MOUNTAIN HOME AFB, ID 83648-1057
(208) 828-7100
Mailing address
930 GARRETT ST, MOUNTAIN HOME, ID 83647-3696
(630) 788-5482
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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