MEDICARE: LAURIE M KUESTNER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0129X	Vascular Surgery Physician	9871966	ID

General Provider Information

NPI Number	:	1235111261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURIE M KUESTNER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 277381
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30384-7381
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2860 CHANNING WAY STE 220
Second Line	:
City	:	IDAHO FALLS
State	:	ID
Zip	:	83404-7541
Country	:	US
Telephone Number	:	208-800-6155
Fax Number	:	208-800-6158

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	09/17/2025

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1114572716 — DEREK BERTA
Practice Location Address:

2860 CHANNING WAY STE 220
IDAHO FALLS, ID
83404-7541

Practice Phone: 208-800-6155
Practice Fax: 208-800-6158

1518016062 — DR. KENNETH E KRELL M.D.
Practice Location Address:

2860 CHANNING WAY STE 221
IDAHO FALLS, ID
83404-7541

Practice Phone: 208-535-4000
Practice Fax:

1336305739 — MUELLER CARE CENTER, INC.
Practice Location Address:

2860 CHANNING WAY STE 211
IDAHO FALLS, ID
83404-7541

Practice Phone: 208-522-2273
Practice Fax: 208-522-4941

1871734293 — AESTHETIC CONCEPTS LLC
Practice Location Address:

2860 CHANNING WAY STE 224
IDAHO FALLS, ID
83404-7541

Practice Phone: 208-529-6430
Practice Fax: 208-529-6428

1568796654 — DR. JOHN HAROLD GRIDER D.O.
Practice Location Address:

2860 CHANNING WAY STE 221
IDAHO FALLS, ID
83404-7541

Practice Phone: 208-535-4000
Practice Fax: 208-535-4014

Directions to “ LAURIE M KUESTNER M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.