Individual
KATHRYN A JOSEFOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3587 S FEDERAL WAY, BOISE, ID 83705
(208) 302-5300
(208) 302-5325
Mailing address
3340 EAST GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 302-5300
(208) 302-5325
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-649
ID
Other
Enumeration date
02/01/2006
Last updated
11/15/2016
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