NPI 1053960286

Kyle Hiromi Hatanaka, LAC

Practitioner Acupuncturist Boise, ID

Practice location

Address: 9450 #120 Fairview Avenue, Boise, ID 83704
Phone: (530) 515-1064
Mailing address: 5112 NE 47th Pl, Portland, OR 97218-2066

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X

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Registry record

NPI: 1053960286
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Sep 2019
Record last updated: 10 Sep 2019

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.