Mr Kyle Spencer Conger, RN | |
1202 E Locust St, Emmett, ID 83617-2715 | |
(208) 901-3287 | |
(208) 365-3572 |
Full Name | Mr Kyle Spencer Conger |
---|---|
Gender | Male |
Speciality | Registered Nurse - Emergency |
Location | 1202 E Locust St, Emmett, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336930734 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 51549 (Idaho) | Secondary |
163WE0003X | Registered Nurse - Emergency | 51549 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Kyle Spencer Conger, RN 11360 W Blue Fox St, Boise, ID 83709-6917 Ph: (801) 347-0160 | Mr Kyle Spencer Conger, RN 1202 E Locust St, Emmett, ID 83617-2715 Ph: (208) 901-3287 |
Patricia Lynn Hennequin, RN, BSN, IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2378 Schiller Rd, Emmett, ID 83617 Phone: 208-345-4647 | |
Kathleen Ann Mack, ARNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1006 Vanderdasson Rd, Emmett, ID 83617 Phone: 208-944-1537 Fax: 208-944-6067 |