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Scott K M Knudsen
Student in an Organized Health Care Education/Training Program in Mountain Home, Idaho
NPI 1629651666

Scott K M Knudsen is a Student in an Organized Health Care Education/Training Program based in Salt Lake City, ID. Scott K M Knudsen practices in Mountain Home, ID. The NPI Number for Scott K M Knudsen is 1629651666 and holds a License No. (Idaho).

The current practice location address for Scott K M Knudsen is 2280 American Legion Blvd, Mountain Home, ID and can be reached out via phone at 208-587-3988. You can also correspond with Scott K M Knudsen through the mailing address at 375 S CHIPETA WAY, SALT LAKE CITY, UT - 84108-1260 (mailing address contact number: 801-581-7766).

Location: 2280 American Legion Blvd, Mountain Home, ID, 84108-1260
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629651666
Provider Name
Scott K M Knudsen
Credential
Provider Entity Type
Individual
Gender
Male
Address
2280 American Legion Blvd, Mountain Home, ID, 84108-1260
Phone Number
208-587-3988
Fax Number
Provider Enumeration Date
04/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2280 American Legion Blvd
City
Mountain Home
State
Idaho
Zip
83647-3142
Phone Number
208-587-3988
Fax Number
person
Provider Business Mailing Address Details
Address
2280 American Legion Blvd
City
Mountain Home
State
Idaho
Zip
83647-3142
Phone Number
208-587-3988
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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