Individual
DR. KUHIA LOREN FISHER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1512 12TH AVE RD, NAMPA, ID 83653-1517
(208) 461-2883
(208) 461-2953
Mailing address
PO BOX 1517, NAMPA, ID 83653-1517
(208) 461-2883
(208) 461-2953
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5876867-1205
UT
207L00000X
Anesthesiology Physician
M8298
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050082685
RAILROAD MEDICARE
ID
05
—
806129800
—
ID
Enumeration date
10/11/2005
Last updated
11/15/2021
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