Whalio Doctors

NPI 1104289313

Bryce Jacob Kirkman, DO

Practitioner Physical Medicine & Rehabilitation Physician Meridian, ID

Practice location

Address
520 S Eagle Rd STE 1243, Meridian, ID 83642-6355
Phone
(208) 333-2225
Mailing address
190 E Bannock St, Boise, ID 83712-6241

Registered specialties (3)

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence O-1701 (ID)
Physical Medicine & Rehabilitation Physician
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence BP10055694 (TX)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1104289313
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Apr 2016
Record last updated
22 Aug 2022

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.