KELLY JO VINCENT

BOISE, ID
NPI1194190637
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1332)
Enumeration Date2015-12-09
Last Update Date2023-04-19
Business Address
KELLY JO VINCENT PA-C
8854 W EMERALD ST SUITE #102
BOISE, ID 83704-4844
Phone number: 208-323-4747
Mailing Address
KELLY JO VINCENT PA-C
1940 S BONITO WAY STE 190
MERIDIAN, ID 83642-5618
Phone number: 208-287-9420
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