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Individual

KAMERYN LORAINE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1111 S ORCHARD ST STE 110, BOISE, ID 83705-1961
(209) 919-4692
Mailing address
8604 E DOVE FIELD DR, NAMPA, ID 83687-1148
(509) 768-6054

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
07/28/2026
Last updated
07/28/2026
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