Individual
KEVIN PRIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3910 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7883
(208) 523-1122
Mailing address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
CS65696
ID
208000000X
Pediatrics Physician
CS65696
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2018
Last updated
09/13/2022
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