Graduated: 1997
NPI: 1164579736
Practice Locations (3)
IDAHO KIDNEY INSTITUTE LLP
1501 HILAND AVE, SUITE M
BURLEY, ID 833182688
2089044780
IDAHO KIDNEY INSTITUTE LLP
4511 ZEBE AVE
Chubbuck, ID 832024707
IDAHO KIDNEY INSTITUTE LLP
4511 ZEBE AVE
CHUBBUCK, ID 832024707
2089044780
Source: CMS National Downloadable File, September 2026.