| NPI | 1538447727 |
|---|---|
| Doing Business As | KANIKSU COMMUNITY HEALTH |
| Entity Type | Organization |
| Authorized Contact | KEVIN KNEPPER CEO 208-263-3410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2021-12-03 |