Individual
DR. LINDA KACZMAREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
214 S MIDLAND BLVD, NAMPA, ID 83686-2602
(208) 465-6900
(208) 465-6911
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51010162602
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4767365
—
MI
Enumeration date
01/24/2006
Last updated
02/08/2013
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