Kinghorn Health and Wellness INC
NPI #1639772049 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1639772049
- Entity Type
- Organization
- Organization Name
- Kinghorn Health and Wellness INC
- Primary Specialty
- Nurse Practitioner - Primary Care
- Enumeration Date
- Nov 18, 2020
- Last Updated
- Mar 26, 2021
Practice Location
- Address
- 2001 S WOODRUFF AVE STE 20
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-6373
- Phone
- (208) 970-2355
Authorized Official
- Name
- MATTHEW S KINGHORN, APRN, FNP-C
- Title
- PRESIDENT
- Phone
- (208) 520-9336
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
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