Individual
BRIAN KALITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2325 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 557-2700
Mailing address
3810 NATHAN DR, IDAHO FALLS, ID 83404-7952
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
66284
ID
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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