Robertson, Kathryn Colleen

Robertson, Kathryn Colleen is an individual health care provider with primary practice located at 302 S 1St Ave , Sandpoint ID 83864-1258. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Robertson, Kathryn Colleen can be contacted via phone (208) 263-5109.

Contact Information

Primary practice address
302 S 1St Ave Sandpoint ID 83864-1258
Phone: (208) 263-5109
Fax: (208) 263-5112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP342 Idaho

Profile Details

NPI number 1114082906
LBN Legal business name Robertson, Kathryn Colleen
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Jul 8th, 2007 - about 19 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 1114082906 NPPES
Idaho MEDICAID 8055221300

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