Fiorentino, Kristen
Fiorentino, Kristen is an sole proprietor health care provider with primary practice located at 520 S Eagle Rd Ste 2104 , Meridian ID 83642-6363. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Fiorentino, Kristen can be contacted via phone (208) 706-0201.Contact Information
Primary practice address
520 S Eagle Rd Ste 2104
Meridian ID 83642-6363
Phone: (208) 706-0201
Fax: (208) 706-0202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M8929 | Idaho |
Profile Details
| NPI number | 1760434302 |
|---|---|
| LBN Legal business name | Fiorentino, Kristen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2006 |
| Last updated | Jun 11th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760434302 | NPPES |
| Idaho | MEDICAID | 806862700 |
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