Weston Dean Killpack
Weston Dean Killpack is a Student in an Organized Health Care Education/Training Program in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2023.
- Licensed in
- ID
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
7708 S 8th WIdaho Falls, ID 83402-5896
Phone: (208) 821-2250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence D-5524 (ID) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1699463919 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 25, 2023 |
| Last updated in NPPES | July 17, 2024 |
| Certification date | July 17, 2024 |
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