Individual
KATHLEEN ELIZABETH SONNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1200 GARRITY BLVD, NAMPA, ID 83687-3402
(208) 343-6458
(208) 343-5031
Mailing address
1200 GARRITY BLVD, NAMPA, ID 83687-3402
(208) 343-6458
(208) 343-5031
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2258
ID
Other
Enumeration date
05/19/2021
Last updated
02/12/2024
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