Search › Idaho › 176B00000X
Kathy Johnson, LM MID75
NPI 1326589573 · on the registry since 2017 · sole proprietor
Practice
- Address
- 214 Ginger Ln
Bonners Ferry, ID 83805 - Phone
- (208) 610-3963
Registry record
- Primary taxonomy
- 176B00000X
176B00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-03-20
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