Individual
MARLENE ELIZABETH KIRKENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7420 SWEET OLA HWY, SWEET, ID 83670-5086
(208) 571-1983
Mailing address
7420 SWEET OLA HWY, SWEET, ID 83670-5086
(208) 571-1983
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
3675779
ID
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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