Individual
MS. KIRA BETH SANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1233 N NORTHWOOD CENTER CT STE 101, COEUR D ALENE, ID 83814-6190
(208) 457-4211
(208) 773-1473
Mailing address
1233 N NORTHWOOD CENTER CT STE 101, COEUR D ALENE, ID 83814-6190
(208) 457-4211
(208) 773-1473
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1444
ID
363AM0700X
Medical Physician Assistant
PA-1444
ID
363AS0400X
Surgical Physician Assistant
PA-1444
ID
Other
Enumeration date
10/03/2011
Last updated
12/22/2023
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