Individual
KATHERINE WINGATE QUAYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 AVIATION DR STE 202, HAILEY, ID 83333-8785
(208) 727-8970
(208) 727-8979
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
9148249-1205
UT
2084P0800X
Psychiatry Physician
57.252141
OH
2084P0800X
Psychiatry Physician
Primary
M-14263
ID
Other
Enumeration date
04/01/2013
Last updated
08/21/2025
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