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Organization
KIMBERLY A VORSE MD PC
Active
Organization
KIMBERLY A VORSE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY ANN VORSE MD (CEO)
(208) 726-0000
Entity
Organization
Contact information
Practice address
380 WASHINGTON AVE SUITE 201, KETCHUM, ID 83340
(208) 726-0000
(208) 726-0000
Mailing address
PO BOX 5000, KETCHUM, ID 83340-5000
(208) 726-0000
(208) 725-0028
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
M7028
ID
208VP0014X
Interventional Pain Medicine Physician
M7028
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001872900 1111
—
ID
Enumeration date
04/13/2007
Last updated
03/11/2008
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