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Individual

KATHERINE LYNN KAISER DEVLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1880 W JUDITH LANE, BOISE, ID 83705
(208) 302-5200
(208) 302-5225
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 302-5200
(208) 302-5225

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP30007931
WA
363LF0000X
Family Nurse Practitioner
Primary
NP-1396A
ID

Other

Enumeration date
02/07/2008
Last updated
11/07/2016
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