Individual
DR. KYLE NOSKOVIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Mailing address
PO BOX 94029, SEATTLE, WA 98124-9429
(800) 475-6236
(706) 653-4449
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2009023903
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
M-17390
ID
Other
Enumeration date
02/13/2008
Last updated
03/04/2026
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