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NPI Code Detail

MEDICARE: MATTHEW DONALD KRAHN

MEDICARE: MATTHEW DONALD KRAHN
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
1207R00000XInternal Medicine Physician8681008ID

General Provider Information

NPI Number : 1659219566
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW DONALD KRAHN
Provider Business Mailing Address
First Line : 500 W FORT ST # 111R
Second Line :
City : BOISE
State : ID
Zip : 83702-4599
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 W FORT ST # 111R
Second Line :
City : BOISE
State : ID
Zip : 83702-4599
Country : US
Telephone Number : 208-422-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 06/08/2026

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Directions to “ MATTHEW DONALD KRAHN ” Practice Location

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