Fossen, Kathleen Leigh

Fossen, Kathleen Leigh is an individual health care provider with primary practice located at 1075 N Curtis Road Ste 300, Boise ID 83706-1309. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Fossen, Kathleen Leigh can be contacted via phone (208) 367-3330.

Contact Information

Primary practice address
1075 N Curtis Road Ste 300 Boise ID 83706-1309
Phone: (208) 367-3330
Fax: (208) 367-3331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-1165 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA-1165 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-1165 Idaho

Profile Details

NPI number 1710282074
LBN Legal business name Fossen, Kathleen Leigh
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2011
Last updated Oct 28th, 2021 - about 4 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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