Key Stone Health Care
Key Stone Health Care is a Geriatric Medicine (Family Medicine) Physician in Eagle, Idaho. Licensed in Idaho. Registered with an NPI since 2013.
- Licensed in
- ID
- In the registry since
- 2013
- Specialties on file
- 3
Practice location Address checks out
21 N Fisher Park WayEagle, ID 83616-4796
Phone: (208) 514-0670
Fax: (208) 549-7880
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X · Licence NP-1166A (ID) |
|---|---|
| Geriatric Medicine (Family Medicine) Physician | Taxonomy 207QG0300X |
| Hospice and Palliative Medicine (Family Medicine) Physician | Taxonomy 207QH0002X |
Record details
| NPI number | 1932520640 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Leonard Jensen — President · (503) 523-6404 |
| NPI enumerated | December 23, 2013 |
| Last updated in NPPES | December 11, 2020 |
| Certification date | December 11, 2020 |
| Mailing address | 21 N Fisher Park Way, Eagle, ID 83616-4796 |