MCKENNA KIELEY BURCHAM

MOSCOW, ID
NPI1487494787
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies235500000X Specialist/Technologist
Enumeration Date2024-05-27
Last Update Date2024-08-16
Business Address
MCKENNA KIELEY BURCHAM
875 PERIMETER DR
MOSCOW, ID 83844-9803
Phone number: 208-885-6111
Mailing Address
MCKENNA KIELEY BURCHAM
2027 4TH AVE N
LEWISTON, ID 83501-1631
Phone number: