Organization
HAZELTREE MIDWIFERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY KAY PALMER LM CPM (OWNER)
(208) 699-3625
Entity
Organization
Contact information
Practice address
6456 W KAMLOOPS DR, RATHDRUM, ID 83858-6417
(208) 777-5800
Mailing address
6456 W KAMLOOPS DR, RATHDRUM, ID 83858-6417
(208) 777-5800
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
09/05/2018
Last updated
09/28/2024
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