CAROLYN KNACKSTEDT

NAMPA, ID
NPI1174145809
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  MRM-1932)
Enumeration Date2020-05-15
Last Update Date2020-05-15
Business Address
CAROLYN KNACKSTEDT MD
215 E HAWAII AVE
NAMPA, ID 83686-6011
Phone number: 208-514-2529
Mailing Address
CAROLYN KNACKSTEDT MD
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
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