Chicoine, Kevin J

Chicoine, Kevin J is an individual health care provider with primary practice located at 315 E Elm St , Caldwell ID 83605-4857. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chicoine, Kevin J can be contacted via phone (208) 459-7415.

Contact Information

Primary practice address
315 E Elm St Caldwell ID 83605-4857
Phone: (208) 459-7415
Fax: (208) 453-3200
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M8223 Idaho
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 63004 Montana

Profile Details

NPI number 1730121740
LBN Legal business name Chicoine, Kevin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Mar 20th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1730121740 NPPES
Idaho MEDICAID 806006100

Popular Providers