Whalio Doctors

NPI 1457885527

Kim Christopher Knudson, DO

Practitioner Psychiatry Physician Meridian, ID

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
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence O-1570 (ID)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

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.