Individual
AMY SUZANNE KAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 E 17TH ST STE 355, IDAHO FALLS, ID 83404-6453
(208) 681-0094
Mailing address
414 KIMBERLY DR, IDAHO FALLS, ID 83401-3841
(208) 681-0094
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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