Individual
MRS. RACHEL JANETTE KALLEMEYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7173 E SUPER 1 LOOP STE B, ATHOL, ID 83801-7109
(208) 561-9901
(208) 561-9968
Mailing address
1593 E POLSTON AVE, POST FALLS, ID 83854-5326
(208) 262-2300
(208) 262-2349
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6361073
ID
363LF0000X
Family Nurse Practitioner
95011208
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235696287
—
ID
05
—
THP11576F
—
CA
Enumeration date
02/26/2019
Last updated
12/20/2024
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