# COEUR D ALENE PLASTIC SURGERY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124568829
- **Authorized official:** KATE KUHLMAN-WOOD MD (OWNER/MD)
- **Authorized official phone:** (208) 758-0486

## Contact information

- **Practice address:** 1875 N LAKEWOOD DR, SUITE 103, COEUR D ALENE, ID 83814-4928
- **Practice address phone:** (208) 758-0486
- **Mailing address:** 1875 N LAKEWOOD DR, SUITE 200, COEUR D ALENE, ID 83814-4928
- **Mailing address phone:** (208) 758-0486

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2082S0105X | Surgery of the Hand (Plastic Surgery) Physician | — | NULL | Yes |
| 2082S0105X | Surgery of the Hand (Plastic Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/28/2017
- **Last updated:** 06/09/2017