Individual
BEVERLY KRICHBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6807 CODY ST, BONNERS FERRY, ID 83805-8613
(208) 267-0900
(208) 267-6100
Mailing address
122 TALL TIMBER RD, MOYIE SPRINGS, ID 83845-5400
(208) 267-0900
(208) 267-6100
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/05/2025
Last updated
12/31/2025
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