License holder summary

KRISTIN KAY MCKIE BERGESON is a Board Of Medicine licensed to practice in Idaho. The address on file for KRISTIN KAY MCKIE BERGESON is 5556 N COLUMBINE PL BOISE ID 83713. This licensed professional license is current. The license was granted 12/14/1994 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

KRISTIN KAY MCKIE BERGESON
Board Of Medicine
License number
D-051
Date granted
12/14/1994
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
5556 N COLUMBINE PL BOISE ID 83713
idaholicensing.com
ID 48354220
LAST UPDATED 2026-08-20 02:34:56 UTC

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