NPI | 1316549116 |
---|---|
Doing Business As | KANIKSU HEALTH SERVICES, INC. |
Entity Type | Organization |
Authorized Contact | KEVIN KNEPPER CEO 208-263-3410 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2020-11-16 |
Last Update Date | 2020-11-30 |