Individual
CODY DEAN KILLMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PARAMEDIC
Contact information
Practice address
126 N MAIN ST, RIGGINS, ID 83549-0055
(208) 628-3394
Mailing address
150 HEATH DR, RIGGINS, ID 83549-5011
(208) 983-9263
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
170373
ID
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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