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Individual

KATIE VANCLEAVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
566 W PRAIRIE AVE, COEUR D ALENE, ID 83815-7766
(208) 625-4970
(208) 625-4991
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4970
(208) 625-4991

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
O-1803
ID

Other

Enumeration date
04/11/2019
Last updated
12/18/2025
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