Individual
KIMBERLY ANN ASHMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1090 W PARK PL, COEUR D ALENE, ID 83814-2785
(208) 215-2005
(844) 807-3782
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 415-0299
(208) 625-2070
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
39558
ID
363LF0000X
Family Nurse Practitioner
Primary
77275
ID
Other
Enumeration date
11/04/2021
Last updated
08/10/2023
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