Search › Idaho › 106H00000X
Darwin Kellicut, MSW
NPI 1417965781 · on the registry since 2006
Practice
- Address
- 1420 Lincoln Way Ste 500
Coeur D Alene, ID 83814 - Phone
- (208) 667-8474
- Fax
- (208) 665-5704
- Organisation at this address
- Larose Dental Pa
Kootenai Family Dental Pllc
Poignant Possibilities, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 1041C0700X
1041C0700X
106H00000X - Licence states on file
- ID, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-11
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