Archibald, Kathy D

Archibald, Kathy D is an sole proprietor health care provider with primary practice located at 2302 E Terry St , Pocatello ID 83201-2733. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Archibald, Kathy D can be contacted via phone (208) 235-5910.

Contact Information

Primary practice address
2302 E Terry St Pocatello ID 83201-2733
Phone: (208) 235-5910
Fax: (208) 235-5920
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X CNS45A Idaho

Profile Details

NPI number 1720230766
LBN Legal business name Archibald, Kathy D
Credentials GCNS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2008
Last updated Feb 27th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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