Organization
KBOLL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARA BOLL NP-C (OWNER)
(208) 535-9009
Entity
Organization
Contact information
Practice address
2305 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 535-9009
Mailing address
PO BOX 2426, IDAHO FALLS, ID 83403-2426
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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