Individual
DEVAN PAUL KRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
2189 STAFFORD CIR, IDAHO FALLS, ID 83401-5979
(208) 542-5069
Mailing address
2189 STAFFORD CIR, IDAHO FALLS, ID 83401-5979
(208) 542-5069
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2090
ID
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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