Individual
HEATHER A KOHOUTEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8436 E SNOWY LN, ATHOL, ID 83801-8237
(208) 819-8329
Mailing address
8436 E SNOWY LN, ATHOL, ID 83801-8237
(208) 819-8329
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2671996
ID
Other
Enumeration date
02/05/2026
Last updated
02/05/2026
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