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Kim Marley
NPI 1487945770 · on the registry since 2011 · sole proprietor
Practice
- Address
- 476978 Hwy 95
Ponderay, ID 83852 - Phone
- (208) 263-7577
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-04-21
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