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Search › Idaho › 101YP2500X

Kasey Nixon

NPI 1518210129 · on the registry since 2012

Practice

Address
2195 Ironwood Ct Ste D
Coeur D Alene, ID 83814
Phone
(208) 625-4887
Organisation at this address
Idaho Dept Of Health & Welfare Itp Reg. 1
Idaho Dept Of Health & Welfare Esc Region 1
Idaho Dept Of Health & Welfare Reg 1 Amh Cm Cda
Idaho Dept Of Health & Welfare Reg 1 Amh Psr Cda
Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Cda
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
171M00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-04-08

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