Individual
MISS KIMBERLY A KLEAVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3525 E LOUISE DR STE 500, MERIDIAN, ID 83642-6305
(208) 706-7050
(208) 706-7059
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 367-5170
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201505347NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
66267
ID
Other
Enumeration date
08/31/2012
Last updated
04/24/2024
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