KELBY JON WILSON

GRANGEVILLE, ID
NPI1164872115
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  M-14749)
Enumeration Date2016-06-20
Last Update Date2020-09-30
Business Address
KELBY JON WILSON MD
607 W MAIN ST
GRANGEVILLE, ID 83530-1345
Phone number: 208-983-1700
Mailing Address
KELBY JON WILSON MD
607 W MAIN ST
GRANGEVILLE, ID 83530-1345
Phone number: 208-983-1700
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