MS. Sally Kupchock, NP
NPI #1063446094 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1063446094
- Entity Type
- Individual
- Name
- MS. Sally Kupchock, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- NP
- Enumeration Date
- Jul 10, 2006
- Last Updated
- Nov 30, 2007
Practice Location
- Address
- 1182 E 21ST ST
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7003
- Phone
- (208) 227-6753
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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