Individual
KATHY VIRGIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID 83647-2821
(208) 580-5431
Mailing address
1130 SW MAYFLOWER, MOUNTAIN HOME, ID 83647-5323
(208) 284-9476
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
ID
Other
Enumeration date
07/05/2025
Last updated
07/05/2025
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