Individual
MRS. KATHY JEAN HEMMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1675 CURLEW DRIVE, AMMON, ID 83406
(208) 523-5319
(208) 523-5627
Mailing address
1675 CURLEW DRIVE, AMMON, ID 83406
(208) 523-5319
(208) 523-5627
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
352013-1206
UT
Other
Enumeration date
07/05/2006
Last updated
06/29/2022
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