Individual
KYLE SEVERINSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 E MULLAN AVE STE 1800, POST FALLS, ID 83854-6052
(208) 625-4965
(208) 625-4966
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-5059
(208) 625-5731
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M-14773
ID
Other
Enumeration date
03/29/2016
Last updated
04/22/2024
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