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Ethan Keierleber
NPI 1477443208 · on the registry since 2025 · sole proprietor
Practice
- Address
- 1087 E Park Blvd
Suite 100
Boise, ID 83712 - Phone
- (208) 584-6130
- Clinicians at this address
- 75
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho