Individual
KYLE JOSEPH LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
1924 S KIMBALL WAY, BOISE, ID 83709-8200
(208) 731-9753
Mailing address
1924 S KIMBALL WAY, BOISE, ID 83709-8200
(208) 731-9753
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/20/2022
Last updated
08/06/2024
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