Individual
KATHLEEN FRANCIS BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
214 N MAIN, RIGGINS, ID 83549
(208) 628-3666
(208) 628-3187
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1929
ID
Other
Enumeration date
09/23/2020
Last updated
08/05/2024
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