Individual
KENDELL ANN SIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6615 COMANCHE ST, BONNERS FERRY, ID 83805
(208) 267-1718
(208) 267-9197
Mailing address
6615 COMANCHE ST, BONNERS FERRY, ID 83805
(208) 267-1718
(208) 267-9197
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA12083
CA
363A00000X
Physician Assistant
Primary
PA1467
ID
Other
Enumeration date
06/06/2006
Last updated
05/07/2026
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