Mountain Health Mid Level
Mountain Health Mid Level is a Medical Physician Assistant in Kellogg, Idaho. Licensed in Idaho. Registered with an NPI since 2007.
- Licensed in
- ID
- In the registry since
- 2007
- Specialties on file
- 3
Practice location Address checks out
740 McKinley AveKellogg, ID 83837-2693
Phone: (208) 783-1267
Fax: (208) 786-4471
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence PA28 (ID) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence PA301 (ID) |
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence PA580 (ID) |
Record details
| NPI number | 1700076510 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lynn Haughn — Office Manager · (208) 783-1267 |
| NPI enumerated | July 27, 2007 |
| Last updated in NPPES | August 15, 2008 |
| Mailing address | 740 McKinley Ave, Kellogg, ID 83837-2693 |