Kym, Marvin Renell

Kym, Marvin Renell is an individual health care provider with primary practice located at 2301 W A St , Moscow ID 83843-4042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kym, Marvin Renell can be contacted via phone (208) 883-1135.

Contact Information

Primary practice address
2301 W A St Moscow ID 83843-4042
Phone: (208) 883-1135
Fax: (208) 892-0174
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X WA0029535 Washington
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X M6029 Idaho

Profile Details

NPI number 1316932601
LBN Legal business name Kym, Marvin Renell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Jul 19th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316932601 NPPES
Idaho Other 000010003567 REGENCE
Idaho MEDICAID 003782400 REGENCE
Idaho MEDICAID 8138554 REGENCE
Idaho Other 10298 REGENCE

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