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General NPI Number Information
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NPI Number | 1518895127
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Entity Type | Individual
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Provider Name | KATHRYN K CALKINS PMHNP
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Gender | Female
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 232 THAIN RD STE A
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City | LEWISTON
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State | ID
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Zip | 83501-6230
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Country | US
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Telephone | 208-848-6115
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Fax |
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Provider Business Mailing Address
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Address Line | 806 20TH ST
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City | LEWISTON
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State | ID
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Zip | 83501-3175
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Country | US
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Telephone | 208-848-6115
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2381202
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License Number State | ID
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