KELLY MEACHAM

IDAHO FALLS, ID
NPI1023489085
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1290)
Enumeration Date2015-10-15
Last Update Date2015-10-15
Business Address
Mr. KELLY MEACHAM PA-C
3389 MERLIN DR
IDAHO FALLS, ID 83404-7405
Phone number: 208-552-9831
Mailing Address
Mr. KELLY MEACHAM PA-C
3389 MERLIN DR
IDAHO FALLS, ID 83404-7405
Phone number:
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