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1396108304
KYLE SEVERINSEN
POST FALLS, ID
NPI
1396108304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: ID M-14773)
Enumeration Date
2016-03-29
Last Update Date
2024-04-22
Business Address
KYLE SEVERINSEN MD
1300 E MULLAN AVE STE 1800
POST FALLS, ID 83854-6052
Phone number: 208-625-4965
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Mailing Address
KYLE SEVERINSEN MD
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814-6051
Phone number: 208-625-5059
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