Individual
JERALYN MARIE KUNZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6590 W NORWOOD DR, BOISE, ID 83704-8765
(208) 377-4003
(208) 377-9006
Mailing address
6590 W NORWOOD DR, BOISE, ID 83704-8765
(208) 377-4003
(208) 377-9006
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2667
ID
Other
Enumeration date
07/11/2022
Last updated
01/28/2025
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