Kimberley D Blewett, D.O. Valid NPI

Individual provider · Family Medicine Physician · Moscow, ID

NPI

1306038997

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

66740581204 (UT)

Sex

Female

Sole proprietor

No

Enumerated

2007-08-16

Last updated

2011-11-17