KIMBERLY JO KING

BOISE, ID
NPI1528562899
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner Pediatrics
(Licence: ID  58448)
Additional Taxonomies208000000X Pediatrics
(Licence: ID  N-31500)
Enumeration Date2018-03-21
Last Update Date2018-05-18
Business Address
KIMBERLY JO KING CPNP-PC
209 W MAIN ST
BOISE, ID 83702
Phone number: 208-608-6642
Mailing Address
KIMBERLY JO KING CPNP-PC
209 W MAIN ST
BOISE, ID 83702-7263
Phone number: 208-608-6642