BRUCE KAHL

EAGLE, ID
NPI1508472309
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2083S0010X Preventive Medicine, Sports Medicine
(Licence: ID  AT-698)
Enumeration Date2020-09-17
Last Update Date2020-09-17
Business Address
Mr. BRUCE KAHL Athletic Trainer
574 N PARK LN
EAGLE, ID 83616-4512
Phone number: 208-350-4235
Mailing Address
Mr. BRUCE KAHL Athletic Trainer
847 N UNION WAY
STAR, ID 83669-6028
Phone number: 775-354-7900