Katelyn Brigham

NPI #1932788189 in Eagle, Idaho

Provider Information

NPI Number: 1932788189
Entity Type: Individual
Name: Katelyn Brigham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Enumeration Date: Apr 5, 2021
Last Updated: Sep 5, 2024

Practice Location

Address: 450 W STATE ST
City: Eagle
State: Idaho
ZIP Code: 83616-7057
Phone: (208) 939-1035

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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