Mack, Kathleen Ann

Mack, Kathleen Ann is an individual health care provider with primary practice located at 1006 Vanderdasson Rd , Emmett ID 83617-8880. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mack, Kathleen Ann can be contacted via phone (208) 944-1537.

Contact Information

Primary practice address
1006 Vanderdasson Rd Emmett ID 83617-8880
Phone: (208) 944-1537
Fax: (208) 944-6067
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN00106768 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 8636044-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP30008033 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 73858 Idaho

Profile Details

NPI number 1326211624
LBN Legal business name Mack, Kathleen Ann
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2008
Last updated Feb 20th, 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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