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KIRSTEN M DEUTSCH MD NPI 1407800865


NPI Information

NPI: 1407800865
Provider Name: KIRSTEN M DEUTSCH, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
3301 N SAWGRASS WAY
BOISE, ID
ZIP 83704
Phone: (208) 375-0862
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Kirsten M Deutsch, MD is a family medicine in Boise, ID. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Kirsten M Deutsch, MD NPI is 1407800865. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3301 N SAWGRASS WAY
BOISE, ID
ZIP 83704-493
Phone: (208) 375-0862
Fax: (208) 375-2658

The enumeration date for this NPI number is 5/20/2006 and was last updated on 12/29/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine2000172092MISSOURINo
2207Q00000XFamily Medicine50492MINNESOTANo
3207Q00000XFamily MedicineM11773IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1113011950MEDICARE ID-TYPE UNSPECIFIEDMISSOURI
2080017220MEDICARE PINMINNESOTA
3H28861MEDICARE UPIN
480164827OTHERMISSOURIRR MEDICARE
5205171101MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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