Individual
HOLLY M KAWANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 E IDAHO ST, SUITE 302, BOISE, ID 83712-6267
(208) 343-7501
(208) 336-8248
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M-11959
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538301619
—
ID
Enumeration date
04/03/2009
Last updated
12/03/2018
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