SearchIdaho106S00000X

Kohlee Clark

NPI 1861108177 · on the registry since 2023 · sole proprietor

Practice

Address
859 S Hwy 191
Suite 202
Rexburg, ID 83440
Phone
(307) 257-5487
Clinicians at this address
3

Registry record

Primary taxonomy
106S00000X
106S00000X
Sex
Female
Record last updated
2023-01-30

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