Individual provider · Type 1 NPI

Tyler Quinn Kerns

Student in an Organized Health Care Education/Training Program · Boise, ID

NPI number 1154830081 Active

Practice location

1720 N Westgate Dr
Boise, ID 83704-7164

Call (208) 334-0800 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1154830081

Tyler Quinn Kerns's National Provider Identifier is 1154830081, issued on Sep 22, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boise, ID. The record was last updated on Sep 22, 2017.