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Individual

KATELYN HAMMRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
427 12TH ST, PLUMMER, ID 83851-4000
(208) 686-1931
(208) 686-5133
Mailing address
427 12TH ST, PLUMMER, ID 83851-4000
(208) 686-1931
(208) 686-5133

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
08/25/2019
Last updated
10/08/2024
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