Search › Idaho › 363LF0000X
Kimberly Mcdermott, FNP-BC
NPI 1740680131 · on the registry since 2014 · sole proprietor
Practice
- Address
- 913 W Canfield Ave
Coeur D Alene, ID 83815 - Phone
- (208) 819-7103
- Fax
- (208) 719-0050
- Organisation at this address
- Revitalize Health
Rathdrum Clinic, Inc.
Mind And Body RestoredInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-06
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