Kathy Gavin, FNP

NPI #1770598559 in Ponderay, Idaho

Provider Information

NPI Number
1770598559
Entity Type
Individual
Name
Kathy Gavin, FNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
FNP
Enumeration Date
Jul 30, 2006
Last Updated
Dec 13, 2007

Practice Location

Address
30410 HIGHWAY 200
State
Idaho
ZIP Code
83852-9601
Phone
(208) 263-1345

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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