Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK E KIECKBUSCH, M.D.
ActiveAnatomic Pathology & Clinical Pathology · BOISE, ID
Registration Details
- NPI Number
- 1215981410
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 20, 2006 (19.930526220694 yrs)
- Last Updated
- Dec 11, 2007
- Licenses
-
M6070 (ID)M6070 (ID)
Practice Information
- Address
-
190 E BANNOCK STBOISE, ID, 837126241Browse ID providers · Browse ZIP 83712
- Phone
- 2083812367
- Fax
- 2083814762
- Primary Specialty
-
Anatomic Pathology & Clinical Pathology
207ZP0102X
- Additional Specialty
- Hematology (Pathology)
Other Anatomic Pathology & Clinical Pathology Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| MICHAEL J MYHRE | M.D. | 1821093527 |
| DR. C. MANUEL SUAREZ | M.D. | 1992701353 |
| DANIEL J WALSH | M.D. | 1376597575 |
| NANCY C KOIS | M.D. | 1356397491 |
| RICHARD A STILLINGER | M.D. | 1750329025 |
| MICHAEL J CAREY | M.D. | 1881632065 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.