NPI age
20 years
Enumerated 2005-09-05
● Active
Type 1 · Individual
DR. Bonita Klahn Vestal, M.D.
Vestal is 1 of 7 pediatrics providers in Boise and 1 of 7 in Idaho.
Primary specialty
Pediatrics
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Not specified
May be part of a larger org
How this provider compares
Across 7 active pediatrics providers in Idaho.
NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
57% of peers hold multiple states
Subspecialties
0
57% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-09Enumerated in NPPES
2005
2026
Where they practice
Practice location
1502 W Franklin St
Boise, ID 837024028
Mailing address
1502 W Franklin St
Boise, ID 837024028
Specialties
-
Pediatrics PrimaryA pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Practice context
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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