| NPI | 1093135634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT KINGHORN President 208-344-3324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: ID P-230) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-04-22 |