Individual
KIMBERLY HEPPNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
845 W CENTER ST STE L208, POCATELLO, ID 83204-4205
(208) 829-3160
(208) 242-2302
Mailing address
845 W CENTER ST STE L208, POCATELLO, ID 83204-4205
(208) 829-3160
(208) 242-2302
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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