Blewett, Kimberley D
Blewett, Kimberley D is an individual health care provider with primary practice located at 623 South Main Street , Moscow ID 83843. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Blewett, Kimberley D can be contacted via phone (208) 882-2011.Contact Information
Primary practice address
623 South Main Street
Moscow ID 83843
Phone: (208) 882-2011
Fax: (208) 883-1853
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 66740581204 | Utah |
Profile Details
| NPI number | 1306038997 |
|---|---|
| LBN Legal business name | Blewett, Kimberley D |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2007 |
| Last updated | Nov 17th, 2011 - about 15 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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