Individual
MRS. KELLIE KATHRYN BREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-MSN
Contact information
Practice address
700 W IRONWOOD DR, SUITE 155, COEUR D ALENE, ID 83814-2656
(208) 667-0585
(208) 667-0876
Mailing address
700 W. IRONWOOD DRIVE, SUITE 155, COEUR D'ALENE, ID 83814-4462
(208) 667-0585
(208) 667-0876
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
55031
ID
Other
Enumeration date
01/27/2017
Last updated
07/10/2017
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