| NPI | 1316343320 |
|---|---|
| Doing Business As | KANIKSU COMMUNITY HEALTH |
| Entity Type | Organization |
| Authorized Contact | KEVIN KNEPPER CEO 208-263-7101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2022-01-11 |