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Katie Okennedy

NPI 1154204816 · on the registry since 2025 · sole proprietor

Practice

Address
13252 W Fringetree St
Boise, ID 83713
Phone
(925) 305-6478

Registry record

Primary taxonomy
103K00000X
103K00000X
Sex
Female
Record last updated
2025-07-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho