Individual
REBECCA S KIRK-EWING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN CDE
Contact information
Practice address
701 LEWISTON ST, COTTONWOOD, ID 83522-9750
(208) 962-3251
(208) 962-2323
Mailing address
PO BOX 137, COTTONWOOD, ID 83522-0137
(208) 952-3251
(208) 962-2323
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
2031-0119
ID
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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