NPI: 1376211268 · BOISE, ID 83702 · Geriatric Medicine (Family Medicine) Physician · NPI assigned 09/03/2021
| Authorized Official | JENSEN, LEONARD (OWNER) |
| NPI Enumeration Date | 09/03/2021 |
Other providers sharing the same authorized official: JENSEN, LEONARD
| Provider | City | State | Total Paid |
|---|---|---|---|
| KEY STONE HEALTH CARE | EAGLE | ID | $133K |
| KEYSTONE HOSPICE, LLC | EAGLE | ID | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 41 | $665.62 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99310 | Prolong nursin fac eval 15m | 41 | 27 | $665.62 |