Individual
KATELYN MARIE GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
414 SHOUP AVE W, SUITE B, TWIN FALLS, ID 83301-5042
(208) 814-9100
Mailing address
414 SHOUP AVE W, SUITE B, TWIN FALLS, ID 83301-5042
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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