Individual
KAYLA DEMATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2426 N MERRITT CREEK LOOP STE A, COEUR D ALENE, ID 83814-4961
(208) 819-2183
(208) 209-6063
Mailing address
PO BOX 3687, COEUR D ALENE, ID 83816-2529
(208) 819-2183
(208) 209-6063
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7281414
ID
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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