Organization · Type 2 NPI

Kinghorn Medical LLC

Customized Equipment (DME) · Boise, ID

NPI number 1821436718 Active

Practice location

248 S Cole Rd, Bldg #7
Boise, ID 83709-0934

Fax (208) 901-8185

Specialties and licenses

Taxonomy	Code	License
Customized Equipment (DME) Primary	332BC3200X	None listed

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NPI record

NPI: 1821436718
Entity type: Organization (Type 2)
Issued: Jun 13, 2013
Last updated: Sep 20, 2024
Status: Active

Other names

<unavail>
Mountain Brace Systems · doing business as
Mountain Brace Systems · doing business as

Authorized official

Mr. Jake Kent Kinghorn, CO-F
Owner
(208) 350-3092

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About NPI 1821436718

Kinghorn Medical LLC's National Provider Identifier is 1821436718, issued on Jun 13, 2013. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Boise, ID. The record was last updated on Sep 20, 2024.