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Individual

KRISTIN MICHELLE PAUL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
914 W IRONWOOD DR STE 101, COEUR D ALENE, ID 83814-4927
(208) 625-5084
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-14169
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1851646731
ID
Enumeration date
07/17/2012
Last updated
07/22/2025
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