Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | M12517 | ID |
NPI | 1083605976 |
---|---|
Provider Name | Dr. Kara Lynn Arvin |
First Address | Coeur D Alene, ID 83814-6051 |
Second Address | Bozeman, MT 59715-6902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2005 |
Last Update Date | 22/07/2021 |