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Kathryn Heydorn
NPI 1871005108 · on the registry since 2017 · sole proprietor
Practice
- Address
- 7714 E Willard Dr
Nampa, ID 83687 - Phone
- (208) 810-1276
- Fax
- (208) 895-8049
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 101YM0800X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-02-14
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