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Search › Idaho › 133V00000X

Kathy Puckett, RDLDCDE

NPI 1891006102 · on the registry since 2010

Practice

Address
98 Poplar St
Blackfoot, ID 83221
Phone
(208) 785-4100
Fax
(208) 785-8959
Organisation at this address
Bmh Inc
Bmh Inc
Bmh Inc
Bmh Inc
Bmh Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
88

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-10-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho