Organization
SUMMIT HEALTH & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE SEVERINSEN MD (ONWER)
(801) 205-9647
Entity
Organization
Contact information
Practice address
8152 N. WAYNE DR., HAYDEN, ID 83835
(208) 417-7741
Mailing address
1940 E GUNTHER AVE, COEUR D ALENE, ID 83815-9435
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
04/29/2026
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