Jay Koernke is a student in an organized health care education training program in Boise, ID. The provider is 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. Jay Koernke NPI is 1942887401. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
500 W FORT ST # 111R
BOISE, ID
ZIP 83702-501
Phone: (816) 806-6566
The enumeration date for this NPI number is 3/29/2021 and was last updated on 3/29/2021.