| NPI | 1336273267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBALL T LUNDAHL Chiropractor 208-887-4872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-1089) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2021-09-02 |