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Contact Information

KIMBERLEY D BLEWETT, DO
623 SOUTH MAIN STREET
MOSCOW, ID83843
 Phone: 208-882-2011
 Fax: 208-883-1853
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KIMBERLEY D BLEWETT · (Female)

NPI # 1306038997
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/16/2007
Last updated 11/17/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 66740581204
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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