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1639726334
MATTHEW SCOTT KINGHORN
IDAHO FALLS, ID
NPI
1639726334
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 62114)
Enumeration Date
2019-08-19
Last Update Date
2022-02-11
Business Address
-- MATTHEW SCOTT KINGHORN FNP-C
3200 CHANNING WAY STE A205
IDAHO FALLS, ID 83404-7586
Phone number: 208-535-4580
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Mailing Address
-- MATTHEW SCOTT KINGHORN FNP-C
PO BOX 277381
ATLANTA, GA 30384-7381
Phone number:
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