| K A Health Services Pllc | |
|
1111 S Orchard St Ste 290 Boise ID 83705-1991 | |
| (208) 283-6390 | |
| Not Available |
| Full Name | K A Health Services Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1111 S Orchard St Ste 290, Boise, Idaho |
| Authorized Official Name and Position | Khalid Abd Hussein Ameri (OWNER) |
| Authorized Official Contact | 2082836390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K A Health Services Pllc 1111 S Orchard St Ste 290 Boise ID 83705-1991 Ph: (208) 283-6390 | K A Health Services Pllc 1111 S Orchard St Ste 290 Boise ID 83705-1991 Ph: (208) 283-6390 |
| NPI Number | 1336698927 |
|---|---|
| Provider Enumeration Date | 09/24/2016 |
| Last Update Date | 09/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336698927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LCSW-24969 (Idaho) | Primary |
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