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KORDELL KOEPNICK, PA

PA

Physician Assistant

NPI: 1770289621IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA6140460(WA)PA219548(OR)PA-2450(ID)

CMS Specialties

Education

OTHER

Class of 2022

Contact & Hours

Via practice · 3 locations total

Address
500 S 8TH ST
BOISE, ID 83702

Quick Facts

NPI
1770289621
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
3
Locations
3
Years in Practice
4

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