Whalio Doctors

NPI 1225369820

Kristina M Kniffen, PN

Practitioner Licensed Practical Nurse Fort Hall, ID

Practice location

Address
717 Mission Rd, Fort Hall, ID 83203-0306
Phone
(208) 238-2400
Fax
(208) 238-5462
Mailing address
717 Mission Rd PO Box 306, Fort Hall, ID 83203-0306

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence PN-14938 (ID)

Registry record

NPI
1225369820
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 Jan 2010
Record last updated
21 Jan 2010

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.