Individual
KERRI EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
220 S 2ND AVENUE, #101, KETCHUM, ID 83340
(208) 720-9982
Mailing address
PO BOX 6507, KETCHUM, ID 83340-6507
(208) 720-9982
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1958
ID
Other
Enumeration date
08/27/2013
Last updated
11/03/2020
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