Individual
KAMI BOWCUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
700 W IRONWOOD DR STE 341, COEUR D ALENE, ID 83814-4404
(208) 625-5200
(208) 625-5201
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-5085
(208) 625-5731
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA1560
ID
Other
Enumeration date
11/16/2017
Last updated
04/23/2024
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