KEVIN O'DONNELL

BOISE, ID
NPI1720840507
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  59222)
Enumeration Date2024-01-26
Last Update Date2024-02-22
Business Address
KEVIN O'DONNELL FNP
2619 W FAIRVIEW AVE STE 2100
BOISE, ID 83702-6722
Phone number: 208-706-2663
Mailing Address
KEVIN O'DONNELL FNP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: