Mcdermott, Kimberly
Mcdermott, Kimberly is an sole proprietor health care provider with primary practice located at 913 W Canfield Ave , Coeur D Alene ID 83815-9764. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mcdermott, Kimberly can be contacted via phone (208) 819-7103.Contact Information
Primary practice address
913 W Canfield Ave
Coeur D Alene ID 83815-9764
Phone: (208) 819-7103
Fax: (208) 719-0050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 69417 | Idaho |
Profile Details
| NPI number | 1740680131 |
|---|---|
| LBN Legal business name | Mcdermott, Kimberly |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 4th, 2014 |
| Last updated | Sep 6th, 2021 - about 5 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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