Individual
KYLE HILDRETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
543 3RD ST, IDAHO FALLS, ID 83401-3909
(208) 522-6925
(208) 522-6934
Mailing address
6280 MALORY DR, IDAHO FALLS, ID 83402-5056
(208) 403-8963
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
ID
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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