Keaton Nicholson
Keaton Nicholson is a Student in an Organized Health Care Education/Training Program in Boise, Idaho. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
140 E Boise AveBoise, ID 83706-4302
Phone: (208) 385-9228
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1902749864 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Sole proprietor | No |
| NPI enumerated | April 13, 2026 |
| Last updated in NPPES | April 13, 2026 |
| Certification date | April 13, 2026 |
| Mailing address | 140 E Boise Ave, Boise, ID 83706-4302 |
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