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Kendra Mae Black-smith, MD
Neonatal-Perinatal Medicine Physician in Coeur D Alene, Idaho
NPI 1790866044

Kendra Mae Black-smith is a Neonatal-Perinatal Medicine Physician based in Coeur D Alene, ID and is specialized in Neonatal-Perinatal Medicine. Kendra Mae Black-smith practices in Coeur D Alene, ID and has the professional credentials of MD. The NPI Number for Kendra Mae Black-smith is 1790866044 and holds a License No. MD00039197 (Idaho).

The current practice location address for Kendra Mae Black-smith is 2003 Kootenai Health Way, Coeur D Alene, ID and can be reached out via phone at 208-625-5185 and via fax at 208-625-6892.

Location: 2003 Kootenai Health Way, Coeur D Alene, ID, 83814-6051
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Provider Profile Details
NPI Number
1790866044
Provider Name
Kendra Mae Black-smith
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2003 Kootenai Health Way, Coeur D Alene, ID, 83814-6051
Phone Number
208-625-5185
Fax Number
208-625-6892
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
272030 01 INTERNAL ID-MOTOR VEHICLE ID
8269235 05 WA
institution
Provider Business Practice Location Address Details
Address
2003 Kootenai Health Way
City
State
Zip
83814
Phone Number
208-625-5185
Fax Number
208-625-6892
person
Provider Business Mailing Address Details
Address
2003 Kootenai Health Way
City
State
Zip
83814
Phone Number
208-625-5185
Fax Number
208-625-6892
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Neonatal-Perinatal Medicine
Taxonomy
License No.
MD00039197 (Washington)
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
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