KINGHORN MEDICAL LLC NPI 1821436718

NPI Information

KINGHORN MEDICAL LLC is a customized equipment durable medical equipment medical supplies in Boise, ID. KINGHORN MEDICAL LLC NPI is 1821436718. The provider is registered as an organization entity type.
The provider Is Doing Business As Mountain Brace Systems.

The provider's business location address is:

248 S COLE RD
BLDG #7
BOISE, ID
ZIP 83709-934
Phone: (208) 350-3092
Fax: (208) 901-8185

The provider's authorized official is Jake Kent Kinghorn .
The authorized official title is Owner and has the following contact phone number (208) 350-3092.

The enumeration date for this NPI number is 6/13/2013 and was last updated on 10/4/2022.

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:

Other Identifiers

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.