NPI 1073454294

Malaika Kimmons

Practitioner Student in an Organized Health Care Education/Training Program Boise, ID

Practice location

Address: 500 W Fort St, Boise, ID 83702-4501
Phone: (208) 422-1000
Mailing address: 218 Presenteer Trl, Apex, NC 27539-6526

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Idaho →

Registry record

NPI: 1073454294
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Apr 2026
Record last updated: 2 Apr 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.