Organization
KIMBERLY A. VORSE MD PC
Active
Other names
Sleep Evaluation Labs
Organization subpart
No
Provider details
NPI number
Authorized official
KIM A VORSE MD (CEO)
(208) 726-0000
Entity
Organization
Contact information
Practice address
380 WASHINGTON AVE, SUITE 201, KETCHUM, ID 83340
(208) 342-7700
(208) 342-8003
Mailing address
PO BOX 5000, KETCHUM, ID 83340-5000
(208) 342-7700
(208) 342-8003
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
M7028
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001872900
—
ID
Enumeration date
07/25/2008
Last updated
07/25/2008
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