Individual
DIANA L KOTTKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
215 10TH ST, LEWISTON, ID 83501-1912
(208) 799-3100
(208) 799-0349
Mailing address
215 10TH ST, LEWISTON, ID 83501-1912
(208) 799-3100
(208) 799-0349
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP152A
ID
Other
Enumeration date
07/18/2006
Last updated
03/07/2023
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