Organization
PNW MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE SEVERINSEN MD (OWNER/CEO)
(801) 205-9647
Entity
Organization
Contact information
Practice address
497 S BECK RD, POST FALLS, ID 83854-4891
(208) 618-6911
Mailing address
1940 E GUNTHER AVE, COEUR D ALENE, ID 83815-9435
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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