Individual
SERGEI V KASHIRNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 E IDAHO ST STE 300, NEUROLOGY, BOISE, ID 83712-6256
(208) 381-7335
Mailing address
125 E IDAHO ST STE 300, NEUROLOGY, BOISE, ID 83712-6256
(208) 381-7335
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
M-11540
ID
2084N0400X
Neurology Physician
MED-PHYS-LIC-25798
MT
Other
Enumeration date
08/13/2007
Last updated
10/30/2015
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