Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristan Ann Kudera, BSINPSYCHOLOGY

Individual provider Clinical Social Worker · NPI 1821973330

Kristan Ann Kudera, BSINPSYCHOLOGY is a Clinical Social Worker in Boise, Idaho. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

8610 W Overland Rd
Boise, ID 83709-1645
Phone: (208) 514-2500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 315 E Elm St, Caldwell, ID 83605-4857 — (208) 514-2500

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1821973330
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSINPSYCHOLOGY
Sole proprietorNo
NPI enumeratedAugust 6, 2025
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025

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