Individual
MACKENNA KUEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 W GEORGIA AVE, NAMPA, ID 83686-3024
(208) 467-1069
Mailing address
207 W GEORGIA AVE, NAMPA, ID 83686-3024
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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