Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath |
NPI | 1073038956 |
---|---|
Provider Name | Kimberly A Howes |
First Address | Boise, ID 83714-9716 |
Second Address | Boise, ID 83714-3800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2017 |
Last Update Date | 11/08/2017 |