K M Haycraft LLC
NPI #1689196610 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1689196610
- Entity Type
- Organization
- Organization Name
- K M Haycraft LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jul 11, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 250 NORTHWEST BLVD STE 107A
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814-2971
- Phone
- (208) 610-3561
Authorized Official
- Name
- MR. CLINT PERKINS
- Title
- OFFICE MANAGER
- Phone
- (971) 218-4577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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