Koontz, Kerry L
Koontz, Kerry L is an individual health care provider with primary practice located at 414 Shoup Ave W Ste B , Twin Falls ID 83301-5042. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Koontz, Kerry L can be contacted via phone (208) 814-9100.Contact Information
Primary practice address
414 Shoup Ave W Ste B
Twin Falls ID 83301-5042
Phone: (208) 814-9100
Fax: (208) 814-9903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 30785 | Idaho |
Profile Details
| NPI number | 1861765216 |
|---|---|
| LBN Legal business name | Koontz, Kerry L |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2012 |
| Last updated | Feb 15th, 2012 - about 13 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.
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