Mark E Kieckbusch, MD
Mark E Kieckbusch, MD is an Anatomic Pathology & Clinical Pathology Physician in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2006.
- Licensed in
- ID
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
190 E Bannock StBoise, ID 83712-6241
Phone: (208) 381-2367
Fax: (208) 381-4762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anatomic Pathology & Clinical Pathology Physician (primary) | Taxonomy 207ZP0102X · Licence M6070 (ID) |
|---|---|
| Hematology (Pathology) Physician | Taxonomy 207ZH0000X · Licence M6070 (ID) |
Record details
| NPI number | 1215981410 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 20, 2006 |
| Last updated in NPPES | December 11, 2007 |
| Mailing address | Po Box 9589, Boise, ID 83707-4589 |
Other providers in Boise
-
Michael J Carey, MD
190 E Bannock St, Boise, ID 83712-6241 · (208) 381-2367
-
Dr. Ryan N Cole, MD
7988 W Marigold St Ste 150, Boise, ID 83714 · (208) 472-1072
-
Valerie A Holst, MD
190 E Bannock St, Boise, ID 83712-6241 · (208) 381-2367
-
Dr. Karen Ann Johnson, MD
190 E Bannock St, Boise, ID 83712-6241 · (208) 381-2378
-
Edward J Kim, MD
1055 N Curtis Rd, Boise, ID 83706-1309 · (208) 367-2152
-
Carl T Koenen, MD
1055 N Curtis Rd, Boise, ID 83706-1309 · (208) 367-2152
-
Dr. Mark Owen Moore, MD
999 N Curtis Rd Ste 117, Boise, ID 83706-1336 · (208) 367-2155
-
Michael J Myhre, MD
1151 Miller St, Boise, ID 83702-6965 · (208) 377-1969