NPI 1457885527
Kim Christopher Knudson, DO
Practice location
- Address
- 3525 E Louise Dr STE 250, Meridian, ID 83642-6303
- Phone
- (208) 381-7312
- Mailing address
- 190 E Bannock St Rm 3154, Boise, ID 83712-6241
Registered specialties (2)
Psychiatry Physician
Primary
Student in an Organized Health Care Education/Training Program
Registry record
- NPI
- 1457885527
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 16 Apr 2017
- Record last updated
- 7 Jun 2023
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.