Individual
KIM PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
714 N COLLEGE RD, SUITE A, TWIN FALLS, ID 83301-3382
(208) 734-7291
(208) 734-7294
Mailing address
714 N COLLEGE RD, SUITE A, TWIN FALLS, ID 83301-3382
(208) 734-7291
(208) 734-7294
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
Primary
N18813
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N18813
NURSING LICENSE
ID
Enumeration date
01/23/2007
Last updated
07/15/2007
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