Individual
ANDREW KYLE DAVID SCHEETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2900
Mailing address
2808 W KOOTENAI ST, BOISE, ID 83705-2323
(208) 871-6948
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
ID000062300605
ID
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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