NPI 1053814236

Kirsty Lynn House, IDMT

Practitioner Independent Duty Medical Technicians Mountain Home Afb, ID

Practice location

Address: 90 Hope Dr 366th Medical Group, Mountain Home Afb, ID 83648-1057
Phone: (208) 828-6806

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Idaho →

Registry record

NPI: 1053814236
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Mar 2018
Record last updated: 20 Jan 2026

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.