Individual
KYAN MCKEEVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
417 S 6TH ST, BOISE, ID 83702-7632
(510) 305-3868
Mailing address
5391 E QUARTERSAWN CT, BOISE, ID 83716-8621
(510) 305-3868
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
50309
ID
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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