KYLENE NICOLE HASKINS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154848

License Status

ACTIVE

Business

Title

First Name

KYLENE

Middle

NICOLE

Last Name

HASKINS

Business Name

KYLENE NICOLE HASKINS DO

Original Issue Date

11/23/2020

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

BOISE

State

Zip

83702

Ever Disciplined

LastModifiedDate

07/24/2025