Anderson, Kelly

Anderson, Kelly is an individual health care provider with primary practice located at 6051 W Emerald St , Boise ID 83704-8969. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Anderson, Kelly can be contacted via phone (208) 302-5150.

Contact Information

Primary practice address
6051 W Emerald St Boise ID 83704-8969
Phone: (208) 302-5150
Fax: (208) 302-5155
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-2336 Idaho

Profile Details

NPI number 1295465284
LBN Legal business name Anderson, Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2022
Last updated Oct 28th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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