NPI 1013885169
Reilly Kinkade Olson
Practice location
- Address
- 8620 W Emerald St STE 150, Boise, ID 83704-4839
- Phone
- (208) 617-3265
- Fax
- (208) 617-3270
- Mailing address
- 2097 W Fieldstream Dr, Meridian, ID 83646-4274
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1013885169
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Oct 2025
- Record last updated
- 28 Oct 2025
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.