Individual
KATHLEEN CAREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
701 E PARKCENTER BLVD, BOISE, ID 83706-6528
(208) 381-6500
(208) 381-6505
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
8020
AK
207Q00000X
Family Medicine Physician
5315046213
MI
207Q00000X
Family Medicine Physician
8020
AK
207Q00000X
Family Medicine Physician
Primary
O-1791
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1618463
—
AK
Enumeration date
06/28/2010
Last updated
10/16/2023
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