KATHLEEN ANNEKE

BOISE, ID
NPI1083837942
Former NameKATHLEEN ANNEKE CASE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: ID  PA-378)
Additional Taxonomies363A00000X Physician Assistant
363A00000X Physician Assistant
(Licence: ID  PA-378)
Enumeration Date2007-04-10
Last Update Date2024-02-27
Business Address
KATHLEEN ANNEKE PA-C
1072 N LIBERTY ST STE 100
BOISE, ID 83704-8708
Phone number: 208-302-1200
Mailing Address
KATHLEEN ANNEKE PA-C
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-302-9342