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Contact Information

KAYLA DEMATOS, NP
2426 N MERRITT CREEK LOOP STE A
COEUR D'ALENE, ID83814-4961
 Phone: 208-819-2183
 Fax: 208-209-6063
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KAYLA DEMATOS · (Female)

NPI # 1316878895
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 05/26/2026
Last updated 05/26/2026 - About 2 weeks ago
Sole proprietor 1 No
Identifiers
  • ID License # 7281414
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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