SearchIdaho101Y00000X

Keri Lee

NPI 1609133495 · on the registry since 2012 · sole proprietor

Practice

Address
1803 W Garwood Rd
Rathdrum, ID 83858
Phone
(208) 209-2309

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Also registered as
101YM0800X
106H00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-04-18

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