KORY ANDERSEN
Individual Provider (NPI-1)
Active
Student in an Organized Health Care Education/Training Program
Provider Information
- NPI Number
1497514889- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3100 CHANNING WAY IDAHO FALLS, 207514, ID, 83404
- Phone
- (208) 529-6111
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Primary
All Addresses
MAILING
3100 CHANNING WAY
IDAHO FALLS, ID, 834047533