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1023489085
KELLY MEACHAM
IDAHO FALLS, ID
NPI
1023489085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-1290)
Enumeration Date
2015-10-15
Last Update Date
2015-10-15
Business Address
Mr. KELLY MEACHAM PA-C
3389 MERLIN DR
IDAHO FALLS, ID 83404-7405
Phone number: 208-552-9831
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Mailing Address
Mr. KELLY MEACHAM PA-C
3389 MERLIN DR
IDAHO FALLS, ID 83404-7405
Phone number:
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