Neary, Kaitlin C

Neary, Kaitlin C is an sole proprietor health care provider with primary practice located at 8950 W Emerald St Ste 168 , Boise ID 83704-8296. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is her primary health care specialty. Neary, Kaitlin C can be contacted via phone (208) 321-1209.

Contact Information

Primary practice address
8950 W Emerald St Ste 168 Boise ID 83704-8296
Phone: (208) 321-1209
Fax: (208) 321-1211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 16821 Nevada
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 6556 Nebraska
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 16821 Nevada

Profile Details

NPI number 1053609073
LBN Legal business name Neary, Kaitlin C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2011
Last updated Apr 22nd, 2024 - about 5 months 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 1053609073 NPPES
Other 13885664 CAQH
MEDICAID 1053609073 CAQH

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