NPI 1023148210

Kedron F.J. Burnett, PAC

Practitioner Physician Assistant Nampa, ID

Practice location

Address: 211 16th Ave N, Nampa, ID 83687-4058
Phone: (208) 467-4431
Fax: (208) 467-7684
Mailing address: US Dept of State M/Med/Qi, Sa-1, Washington, DC 20522-0001

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 527 (ID)

Other Physician Assistant providers in Idaho →

Registry record

NPI: 1023148210
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Mar 2007
Record last updated: 7 Mar 2023

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.