SearchIdaho101YM0800X

Kathryn Bender

NPI 1770950677 · on the registry since 2015

Practice

Address
59 S Mike St
Boise, ID 83705
Phone
(626) 833-8393

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101Y00000X
101YP2500X
Licence states on file
CA, ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-03-12

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