Individual
MS. KRISTI L WAYMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
916 E. WRIGHT ST., BOISE, ID 83706
(208) 631-5257
(208) 433-1738
Mailing address
3527 S. FEDERAL WAY, STE. 103, #341, BOISE, ID 83705
(208) 631-5257
(208) 433-1738
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA325
ID
363AS0400X
Surgical Physician Assistant
Primary
PA-325
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806326700
—
ID
Enumeration date
03/22/2007
Last updated
04/13/2012
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