Devaney, Kathryn

Devaney, Kathryn is an individual health care provider with primary practice located at 823 Harrison St , Twin Falls ID 83301-3925. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Devaney, Kathryn can be contacted via phone (208) 736-2177.

Contact Information

Primary practice address
823 Harrison St Twin Falls ID 83301-3925
Phone: (208) 736-2177
Fax: (208) 736-2113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NP680-A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP680A Idaho

Profile Details

NPI number 1285672378
LBN Legal business name Devaney, Kathryn
Credentials FNP-C, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Feb 19th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285672378 NPPES
Idaho MEDICAID 807769000
Idaho Other 1345621

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