Individual
KIMBERLY ANN DEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
803 S MAIN ST, MOSCOW, ID 83843-2695
(509) 444-8200
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8888
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
33005
ID
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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