Kory Andersen
Kory Andersen is a Student in an Organized Health Care Education/Training Program in 207514, Idaho. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
3100 Channing Way Idaho Fls207514, ID 83404
Phone: (208) 529-6111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
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Record details
| NPI number | 1497514889 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 18, 2024 |
| Last updated in NPPES | June 25, 2024 |
| Certification date | June 25, 2024 |
| Mailing address | 3100 Channing Way, Idaho Falls, ID 83404-7533 |