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Individual

KAITLYN MCDONALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1090 W PARK PL, COEUR D ALENE, ID 83814-2785
(208) 215-2005
(844) 807-3782
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 415-0299
(208) 625-2070

Taxonomy

Speciality
Code
Description
License number
State
208U00000X
Clinical Pharmacology Physician
Primary
P7295
ID

Other

Enumeration date
09/28/2021
Last updated
10/28/2021
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