Provider Demographics
NPI:1730408717
Name:AALAND, KIRSTEN ROSE (MD)
Entity type:Individual
Prefix:DR
First Name:KIRSTEN
Middle Name:ROSE
Last Name:AALAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 W FORT ST BLDG 116
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83702-4501
Mailing Address - Country:US
Mailing Address - Phone:208-422-1163
Mailing Address - Fax:208-422-1496
Practice Address - Street 1:500 W FORT ST BLDG 116
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83702-4501
Practice Address - Country:US
Practice Address - Phone:208-422-1163
Practice Address - Fax:208-422-1496
Is Sole Proprietor?:No
Enumeration Date:2010-05-31
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDM125772084P0800X
390200000X
IDMRM-1237390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program