NPI 1114301181

St. Luke's Children's

Organisation Children's Hospital Boise, ID

Practice location

Address: 190 E Bannock St, Boise, ID 83712-6241
Phone: (208) 381-2804

Authorised official

Name: Kristin G Booton
Title: Speech Language Pathologist
Phone: (502) 693-0329

Registered specialties

Children's Hospital Primary

Hospitals Taxonomy 282NC2000X Licence SLP-2765 (ID)

Other General Acute Care Hospital providers in Idaho →

Registry record

NPI: 1114301181
Entity type: Organization
NPI issued: 19 Jul 2015
Record last updated: 19 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.