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Contact Information

KEYSTONE CENTER FOR GERIATRICS LLC
305 W BANNOCK ST
BOISE, ID83702-6033
 Phone: 208-514-0670
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KEYSTONE CENTER FOR GERIATRICS LLC · (Female)

NPI # 1376211268
Status Active
Credentials
Entity Individual
Enumeration date 09/03/2021
Last updated 09/03/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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