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1457518110
KAYNE KISHIYAMA MD PA
IDAHO FALLS, ID
NPI
1457518110
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Entity Type
Organization
Authorized Contact
KAYNE K KISHIYAMA
Owner
208-552-0920
Organization Subpart ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
Enumeration Date
2008-05-20
Last Update Date
2008-05-20
Business Address
KAYNE KISHIYAMA MD PA
1522 ELK CREEK DR
IDAHO FALLS, ID 83404-8322
Phone number: 208-552-0920
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Mailing Address
KAYNE KISHIYAMA MD PA
1522 ELK CREEK DR
IDAHO FALLS, ID 83404-8322
Phone number: 208-552-0920
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