Healthcare Provider Details

I. General information

NPI: 1013120435
Provider Name (Legal Business Name): AMANDA K KAMPF RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMANDA KATE BLANKENSHIP

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2003 KOOTENAI HEALTH WAY
COEUR D ALENE ID
83814-6051
US

IV. Provider business mailing address

1698 N WOLLASTON DR
POST FALLS ID
83854-4482
US

V. Phone/Fax

Practice location:
  • Phone: 208-625-4000
  • Fax:
Mailing address:
  • Phone: 509-330-0771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number57526
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: