KENDRA MAE BLACK-SMITH

COEUR D ALENE, ID
NPI1790866044
Other NameKENDRA M SMITH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080N0001X Pediatrics Neonatal-Perinatal Medicine
(Licence: ID  M14495)
Additional Taxonomies2080N0001X Pediatrics Neonatal-Perinatal Medicine
(Licence: WA  MD00039197)
Enumeration Date2006-10-17
Last Update Date2019-04-03
Business Address
KENDRA MAE BLACK-SMITH MD
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Phone number: 208-625-5185
Mailing Address
KENDRA MAE BLACK-SMITH MD
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814-6051
Phone number: 208-625-5059