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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATHLEEN ANNEKE, PA-C

Active

KATHLEEN ANNEKE, PA-C is a Surgical Physician Assistant healthcare provider located in BOISE, Idaho. NPI 1083837942 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · BOISE, ID

Registration Details

NPI Number
1083837942
Provider Type
Individual
Gender
Female
NPI Issued
Apr 10, 2007 (19.311062866066 yrs)
Last Updated
Feb 27, 2024
Licenses
PA-378 (ID)
PA-378 (ID)

Practice Information

Address
1072 N LIBERTY ST STE 100
BOISE, ID, 837048708
Browse ID providers · Browse ZIP 83704
Phone
2083021200
Fax
2083021255
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Physician Assistant
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in BOISE, ID

Name Credential NPI
MR. DANIEL WINSCHEL PA 1508843038
MRS. ALICIA R BORST P.A.C. 1780641530
ROBERT JAMES BUZZINI P.A. 1497703730
SCOTT B BURNETT PA-C 1295787240
NICOLE F PYLE PA-C 1821009788
MR. MARVIN CHARLES SPARRELL MPAS PA-C 1639181233
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.