Wiersma, Kailyn

Wiersma, Kailyn is an individual health care provider with primary practice located at 1620 S Celebration Ave , Meridian ID 83642-2779. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wiersma, Kailyn can be contacted via phone (208) 884-1030.

Contact Information

Primary practice address
1620 S Celebration Ave Meridian ID 83642-2779
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301501833 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301112092 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M-16194 Idaho

Profile Details

NPI number 1508393976
LBN Legal business name Wiersma, Kailyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2017
Last updated Apr 14th, 2022 - 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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