Spain, Francis Kerk

Spain, Francis Kerk is an individual health care provider with primary practice located at 623 S Main St , Moscow ID 83843-2983. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Spain, Francis Kerk can be contacted via phone (208) 882-2011.

Contact Information

Primary practice address
623 S Main St Moscow ID 83843-2983
Fax: (208) 883-1853
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M3923 Idaho

Profile Details

NPI number 1669445474
LBN Legal business name Spain, Francis Kerk
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Nov 17th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669445474 NPPES
Idaho MEDICAID 002531000

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