Individual
MRS. KATHERINE EILEEN VIKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 N ORCHARD ST, BOISE, ID 83706-1620
(208) 376-2995
(208) 376-4148
Mailing address
21 N ORCHARD ST, BOISE, ID 83706-1620
(208) 376-2995
(208) 376-4148
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
ID
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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