Individual provider · Type 1 NPI
Kenneth James Gunderson, FNP-C
Family Nurse Practitioner · Idaho Falls, ID
NPI number
1659149086
Active
Practice location
1950 Saint Clair Rd
Idaho Falls, ID 83404-6306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F12230320 (ID) |
Family Nurse Practitioner: Definition to come...
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About NPI 1659149086
Kenneth James Gunderson, FNP-C's National Provider Identifier is 1659149086, issued on Dec 14, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Idaho Falls, ID. The record was last updated on Feb 21, 2024.