Kathy Gavin, FNP

NPI 1770598559 · on the registry since 2006

Practice

Address: 30410 Highway 200
Ponderay, ID 83852
Phone: (208) 263-1345
Fax: (208) 255-5531
Organisation at this address: Ammara, Inc.
Jesstherapy Pllc
Ckam Rejuvenation Center Llc
Boundary Regional Community Health Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: 363L00000X
363L00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-12-13

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