Individual
KIRSTEN JANEL SNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2205 N IRONWOOD PL, COEUR D ALENE, ID 83814-2610
(208) 292-0303
(844) 807-3782
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 415-0299
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2769
ID
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1148866
NCCPA
—
Enumeration date
08/20/2019
Last updated
04/23/2026
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