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Individual

KABEL JOSEPH SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
1835 W ALTURAS CIR, IDAHO FALLS, ID 83401-4311
(208) 680-8504
Mailing address
1835 W ALTURAS CIR, IDAHO FALLS, ID 83401-4311
(208) 680-8504

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
61260
ID

Other

Enumeration date
09/26/2022
Last updated
09/26/2022
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