Whalio Doctors

NPI 1285027672

Kimberlee Brant, LPNLMT

Practitioner Community Health Worker Boise, ID

Practice location

Address
5460 W Franklin Rd STE H, Boise, ID 83705-1080
Phone
(208) 890-1109
Mailing address
5538 S Adonis Pl, Boise, ID 83716-6950

Registered specialties

Community Health Worker Primary
Other Service Providers Taxonomy 172V00000X Licence MASG-287 (ID)

Registry record

NPI
1285027672
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Mar 2015
Record last updated
10 Mar 2015

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.