Graduated: 2023
NPI: 1760165542
Practice Locations (2)
KOOTENAI HEALTH INC
980 W IRONWOOD DR, SUITE 306
COEUR D ALENE, ID 838142668
2086254970
KOOTENAI HEALTH INC
1055 RIVERSIDE AVE
OROFINO, ID 835449029
2084765777
Source: CMS National Downloadable File, September 2026.