Individual
KAREN M VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1420
Mailing address
9780 W HEARTHSIDE DR, BOISE, ID 83709-6919
(208) 608-9712
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
LRT-1066
ID
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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