NPI 1023444270

Kyle Blevins, DC

Practitioner Chiropractor Boise, ID

Practice location

Address: 405 S 8th St STE 290, Boise, ID 83702-7100
Phone: (208) 342-7136

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence CHIA-1560 (ID)

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Registry record

NPI: 1023444270
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Sep 2013
Record last updated: 19 Sep 2013

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.