Individual
KATHRYN LOUISE MCGINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
721 W 12TH ST, SUITE A, EMMETT, ID 83617-3827
(208) 365-0985
Mailing address
5722 ADAMS RD, NEW PLYMOUTH, ID 83655-5103
(208) 270-0431
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT-499
ID
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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