Individual
MR. KIMBALL T. LUNDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
27 E FAIRVIEW AVE, MERIDIAN, ID 83642-1722
(208) 887-4872
(208) 887-6331
Mailing address
27 E FAIRVIEW AVE, MERIDIAN, ID 83642-1722
(208) 887-4872
(208) 887-6331
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1089
ID
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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