Kathleen Ann Mack is a Family in Emmett, Idaho. Kathleen Ann Mack practices all healthcare services and medical treatments related to Family. The NPI Number for Kathleen Ann Mack is 1326211624. The last update date is 2023-09-30.
Kathleen Ann Mack's current location address is 1006 Vanderdasson Rd, Emmett, Idaho. You can contact this provider via phone number 2089441537 and fax number 2089446067. The mailing address for Kathleen Ann Mack is 1006 Vanderdasson Rd, Emmett, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen Ann Mack |
|---|---|
| Address | 1006 Vanderdasson Rd, Emmett, Idaho |
| Phone Number | 2089441537 |
| Fax Number | 2089446067 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1326211624 |
|---|---|
| Provider Enumeration Date | 2008-04-08 |
| Last Updated Date | 2023-09-30 |
Provider Mailing Address Detail
| Address | 1006 Vanderdasson Rd |
|---|---|
| City | Emmett |
| State | Idaho (ID) |
| Post Code | 836178880 |
| Phone Number | 2089441537 |
| Fax Number | 2089446067 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 8636044-4405 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique 10-digit identifier code issued to Kathleen Ann Mack by the Centers for Medicare & Medicaid Services?
The Kathleen Ann Mack has been assigned the NPI (National Provider Identifier) 1326211624 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kathleen Ann Mack?
The Kathleen Ann Mack is situated at 1006 Vanderdasson Rd, in the city of Emmett, state of ID, with the zip code 836178880.
What is Kathleen Ann Mack's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kathleen Ann Mack is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1326211624 to Kathleen Ann Mack?
The Centers for Medicare & Medicaid Services originally issued the 1326211624 to Kathleen Ann Mack on 2008-04-08.
When was the information regarding Kathleen Ann Mack most recently updated?
The details pertaining to the Kathleen Ann Mack, including its address, specialty, and other relevant information, were last refreshed on 2023-09-30.