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Kacie Peacock, RN — NPI 1083313159, Plummer, ID | NPI Central

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NPI 1083313159

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Kacie Peacock, RN

NPI 1083313159 · Registered Nurse · Plummer, ID

Provider details

NPI number: 1083313159
Entity type: Individual
Primary specialty: Registered NurseNursing Service Providers
Credential: RN
Sex: Female
Sole proprietor: No
License: RN61343748 (WA)

Specialties & taxonomies

Registered NursePrimary163W00000XLicense 69205 (ID)
Nursing Service Providers
Registered Nurse163W00000XLicense RN61343748 (WA)
Nursing Service Providers
Registered Nurse163W00000XLicense 758195 (CA)
Nursing Service Providers

Practice location

4440 Highway 5

Plummer, ID 83851-9681

Phone: (559) 859-3168

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

4440 Highway 5

Plummer, ID 83851-9681

Registry dates

Enumerated: 2023-02-28
Last updated: 2023-02-28
Certified: 2023-02-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.