License holder summary

KAYNE KISHIYAMA is a Board Of Medicine licensed to practice in Idaho. The address on file for KAYNE KISHIYAMA is PINNACLE HEALTH SYSTEMS PLLC Ammon ID 83406. This licensed professional license is current. The license was granted 12/03/1994 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

KAYNE KISHIYAMA
Board Of Medicine
License number
M-6638
Date granted
12/03/1994
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
PINNACLE HEALTH SYSTEMS PLLC Ammon ID 83406
idaholicensing.com
ID 48352499
LAST UPDATED 2024-04-28 04:42:02 UTC

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