Organization
KYM ORTHOPEDICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN R KYM MD (OWNER)
(208) 746-2663
Entity
Organization
Contact information
Practice address
3316 4TH ST #4B, LEWISTON, ID 83501-4405
(208) 746-2663
(208) 746-3390
Mailing address
3316 4TH ST #4B, LEWISTON, ID 83501-4405
(208) 746-2663
(208) 746-3390
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881934404
—
ID
Enumeration date
02/19/2013
Last updated
06/17/2013
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