Individual
KAMLYN HARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3067 EAGLE DR, AMMON, ID 83406-1273
(208) 522-4600
Mailing address
3067 EAGLE DR, AMMON, ID 83406-1273
(208) 522-4600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
02/02/2022
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