KENNETH JAMES GUNDERSON

IDAHO FALLS, ID
NPI1659149086
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: ID  F12230320)
Enumeration Date2023-12-14
Last Update Date2024-02-21
Business Address
KENNETH JAMES GUNDERSON FNP-C
1950 SAINT CLAIR RD
IDAHO FALLS, ID 83404-6306
Phone number: 208-569-8249
Mailing Address
KENNETH JAMES GUNDERSON FNP-C
1950 SAINT CLAIR RD
IDAHO FALLS, ID 83404-6306
Phone number: 208-569-8249