Kelty, Tylar

Kelty, Tylar is an individual health care provider with primary practice located at 6305 W Overland Rd , Boise ID 83709-3029. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Kelty, Tylar can be contacted via phone (208) 605-3663.

Contact Information

Primary practice address
6305 W Overland Rd Boise ID 83709-3029
Phone: (208) 605-3663
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1750141966
LBN Legal business name Kelty, Tylar
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2024
Last updated Mar 22nd, 2024 - about 9 months 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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