Sutherland, Kathleen R.
Sutherland, Kathleen R. is an individual health care provider with primary practice located at 1075 N. Curtis Rd Suite 200, Boise ID 83706-1300. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Sutherland, Kathleen R. can be contacted via phone (208) 367-8333.Contact Information
Primary practice address
1075 N. Curtis Rd Suite 200
Boise ID 83706-1300
Phone: (208) 367-8333
Fax: (208) 367-2003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | M-7074 | Idaho |
Profile Details
| NPI number | 1326186115 |
|---|---|
| LBN Legal business name | Sutherland, Kathleen R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Dec 1st, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326186115 | NPPES |
| Idaho | MEDICAID | 001852402 | |
| Idaho | Other | 000010002158 | |
| Idaho | Other | 1134802 | |
| Idaho | Other | 45948 | |
| Idaho | Other | P00067562 |
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