IndividualActive
Kirk Doering
NPI 1407425473 · Medical-Surgical Registered Nurse · Boise, ID
Provider details
- NPI number
- 1407425473
- Entity type
- Individual
- Primary specialty
- Medical-Surgical Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 64316 (ID)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Practice location
500 W Fort St
Boise, ID 83702-4501
Phone: (208) 422-1000
Approximate (ZIP-level) locationGet directions
Mailing address
11658 Virginia Pkwy
Caldwell, ID 83605-7928
Registry dates
- Enumerated
- 2021-06-23
- Last updated
- 2021-06-23
- Certified
- 2021-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.