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Individual

KATHRYN G REESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2550 ADDISON AVE E, SUITE B, TWIN FALLS, ID 83301-6749
(208) 814-7700
(208) 933-9301
Mailing address
PO BOX 587, TWIN FALLS, ID 83303-0587
(208) 814-7400
(208) 814-7491

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M8364
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
806144000
ID
Enumeration date
06/15/2006
Last updated
01/07/2015
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