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1568405405
KAYNE K KISHIYAMA
AMMON, ID
NPI
1568405405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: ID M-6638)
Enumeration Date
2006-06-14
Last Update Date
2013-04-29
Business Address
Mr. KAYNE K KISHIYAMA MD
1498 MIDWAY AVE SUITE 2
AMMON, ID 83406-4587
Phone number: 208-552-0920
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Mailing Address
Mr. KAYNE K KISHIYAMA MD
1498 MIDWAY AVE SUITE 2
AMMON, ID 83406-4587
Phone number: 208-552-0920
Copy
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